JEFFREY DALE ASTROTH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

NOT RENEWED

Business

First Name

JEFFREY DALE

Last Name

ASTROTH

Suffix

DDS

Business Name

JEFFREY DALE ASTROTH DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

GALVA

State

Zip

61434

County

HENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005