MARK T LITHERLAND Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

NOT RENEWED

Business

First Name

MARK T

Last Name

LITHERLAND

Business Name

MARK T LITHERLAND

Original Issue Date

08/12/1985

Effective Date

12/31/2021

Expiration Date

09/30/2024

City

ALBION

State

Zip

62806

County

EDWARDS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025