KIMBERLY DAWN SIMONDS DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

CANCELLED

Business

First Name

KIMBERLY

Middle

DAWN

Last Name

SIMONDS

Suffix

DDS

Business Name

KIMBERLY DAWN SIMONDS DDS

Original Issue Date

07/20/1998

Effective Date

07/20/1998

Expiration Date

09/30/2004

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005