EDWARD HENRY OBROCK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

NOT RENEWED

Business

First Name

EDWARD HENRY

Last Name

OBROCK

Suffix

DDS

Business Name

EDWARD HENRY OBROCK DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

10/17/2005