SCOTT JOSEPH MEYER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

JOSEPH

Last Name

MEYER

Business Name

SCOTT JOSEPH MEYER

Original Issue Date

09/01/1999

Effective Date

09/01/1999

Expiration Date

09/30/2000

City

RED BUD

State

Zip

62278

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005