B CLIFTON WHITWORTH 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

B CLIFTON

Last Name

WHITWORTH

Suffix

DDS

Business Name

B CLIFTON WHITWORTH DDS

Original Issue Date

01/20/2000

Effective Date

01/20/2000

Expiration Date

09/30/2000

City

EAST ST LOUIS

State

Zip

62205

County

SAINT CLAIR

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

10/17/2005