CHRISTIAN WESCOTT BLOCK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

NOT RENEWED

Business

First Name

CHRISTIAN

Middle

WESCOTT

Last Name

BLOCK

Suffix

DDS

Business Name

CHRISTIAN WESCOTT BLOCK DDS

Original Issue Date

09/24/1998

Effective Date

09/24/1998

Expiration Date

09/30/2006

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006