DAVID KENT GIOVAGNOLI DMD 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

DAVID KENT

Last Name

GIOVAGNOLI

Suffix

DMD

Business Name

DAVID KENT GIOVAGNOLI DMD

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

11/08/2006