WAYNE RAY HAWKINS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

ACTIVE

Business

First Name

WAYNE RAY

Last Name

HAWKINS

Business Name

WAYNE RAY HAWKINS

Original Issue Date

09/17/1984

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/24/2024