F T POWERS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

First Name

Middle

Last Name

POWERS

Suffix

DDS

Business Name

F T POWERS DDS

Original Issue Date

01/01/1998

Effective Date

09/10/2009

Expiration Date

09/30/2012

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012