KAREN K DOLLAHON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

Title

DMD

First Name

KAREN K

Last Name

DOLLAHON

Business Name

KAREN K DOLLAHON DMD

Original Issue Date

09/12/1988

Effective Date

09/12/1988

Expiration Date

09/30/2004

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005