DANIEL ROSS MURPHY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

ROSS

Last Name

MURPHY

Business Name

DANIEL ROSS MURPHY

Original Issue Date

06/21/2005

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009