DEANE ELMO DOOLEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

First Name

DEANE ELMO

Last Name

DOOLEN

Suffix

DDS

Business Name

DEANE ELMO DOOLEN DDS

Original Issue Date

01/01/1998

Effective Date

08/29/2018

Expiration Date

01/31/2022

City

HAVANA

State

Zip

62644

County

MASON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022