RALPH EDWARD HORTON DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

CANCELLED

Business

First Name

RALPH EDWARD

Last Name

HORTON

Suffix

DDS

Business Name

RALPH EDWARD HORTON DDS

Original Issue Date

10/14/1998

Effective Date

10/14/1998

Expiration Date

09/30/2006

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2006