ROBERT S BURRIS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

First Name

ROBERT S

Last Name

BURRIS

Suffix

DMD

Business Name

ROBERT S BURRIS DMD

Original Issue Date

03/09/1990

Effective Date

03/09/1990

Expiration Date

09/30/1990

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005