SHERWOOD DONALD BRYAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

First Name

SHERWOOD DONALD

Last Name

BRYAN

Suffix

DDS

Business Name

SHERWOOD DONALD BRYAN DDS

Original Issue Date

01/01/1998

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

PROPHETSTOWN

State

Zip

61277

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009