SAMUEL THOMAS DEAHL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

NOT RENEWED

Business

First Name

SAMUEL THOMAS

Last Name

DEAHL

Suffix

DDS

Business Name

SAMUEL THOMAS DEAHL DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1996

City

MARSHALL

State

Zip

62441

County

CLARK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005