DAVID RALPH TROST DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

NOT RENEWED

Business

First Name

DAVID RALPH

Last Name

TROST

Suffix

DDS

Business Name

DAVID RALPH TROST DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005