CHARLES ROBERT HORIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

First Name

CHARLES ROBERT

Last Name

HORIN

Business Name

CHARLES ROBERT HORIN

Original Issue Date

08/31/1984

Effective Date

07/02/2018

Expiration Date

01/31/2022

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022