DEAN ALLEN BEATTY DDS

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****64

NOT RENEWED

N

DEAN ALLEN

BEATTY

DDS

DEAN ALLEN BEATTY DDS

01/01/1998

09/30/1986

BELLEVILLE

IL

62223

SAINT CLAIR

II III IV V

N

10/13/2005