WILLIAM FOX HAINES DMD 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

WILLIAM

Middle

FOX

Last Name

HAINES

Suffix

DMD

Business Name

WILLIAM FOX HAINES DMD

Original Issue Date

06/25/2002

Effective Date

06/25/2002

Expiration Date

09/30/2006

City

GLEN CARBON

State

Zip

62034

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006