KARA H MARSHALL DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

CANCELLED

Business

First Name

KARA

Middle

Last Name

MARSHALL

Suffix

DDS

Business Name

KARA H MARSHALL DDS

Original Issue Date

06/28/2005

Effective Date

06/28/2005

Expiration Date

09/30/2006

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2006