DEIDRE K CHILDERS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

First Name

DEIDRE K

Last Name

CHILDERS

Suffix

DDS

Business Name

DEIDRE K CHILDERS DDS

Original Issue Date

11/24/1992

Effective Date

12/28/2021

Expiration Date

09/30/2024

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025