ANDREW HADDOCK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

ACTIVE

Business

Title

DDS

First Name

ANDREW

Last Name

HADDOCK

Business Name

ANDREW HADDOCK DDS

Original Issue Date

02/03/2023

Effective Date

06/22/2024

Expiration Date

09/30/2027

City

MORTON

State

Zip

61550

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2024