DANIEL GARDNER BOEH Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

INOPERATIVE

Business

First Name

DANIEL GARDNER

Last Name

BOEH

Business Name

DANIEL GARDNER BOEH

Original Issue Date

06/13/1988

Effective Date

06/13/1988

Expiration Date

09/30/2002

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005