ALLEN DALE FRY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

NOT RENEWED

Business

First Name

ALLEN DALE

Last Name

FRY

Suffix

DDS

Business Name

ALLEN DALE FRY DDS

Original Issue Date

01/01/1998

Effective Date

08/27/2009

Expiration Date

09/30/2012

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012