DAVID R THEIRL DDS Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

INOPERATIVE

Business

First Name

DAVID R

Last Name

THEIRL

Suffix

DDS

Business Name

DAVID R THEIRL DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

PARIS

State

Zip

61944

County

EDGAR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005