BRYCE ALAN EVANS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

Title

DMD

First Name

BRYCE

Middle

ALAN

Last Name

EVANS

Business Name

BRYCE ALAN EVANS DMD

Original Issue Date

06/21/2016

Effective Date

06/21/2016

Expiration Date

09/30/2018

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018