EVERETT ALFRED PRICE DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

INACTIVE

Business

First Name

EVERETT ALFRED

Last Name

PRICE

Suffix

DDS

Business Name

EVERETT ALFRED PRICE DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005