DONALD D VALENTINE DDS Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

INOPERATIVE

Business

First Name

DONALD D

Last Name

VALENTINE

Suffix

DDS

Business Name

DONALD D VALENTINE DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

ROCKFORD

State

Zip

61107

County

BOONE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/17/2005