LAWRENCE STEWART DAVIS 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

LAWRENCE STEWART

Last Name

DAVIS

Suffix

DDS

Business Name

LAWRENCE STEWART DAVIS DDS

Original Issue Date

12/19/1997

Effective Date

12/19/1997

Expiration Date

09/30/2000

City

BENTON

State

Zip

62812

County

FRANKLIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005