ANDREW G NYBOER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

NOT RENEWED

Business

First Name

ANDREW G

Last Name

NYBOER

Suffix

DDS

Business Name

ANDREW G NYBOER DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

ROCKFORD

State

Zip

61107

County

BOONE

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

10/13/2005