WALLACE FRANCIS STROW JR 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

WALLACE

Middle

FRANCIS

Last Name

STROW

Suffix

JR DDS

Business Name

WALLACE FRANCIS STROW JR DDS

Original Issue Date

12/07/2000

Effective Date

12/07/2000

Expiration Date

09/30/2002

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005