DALE CLAYTON QUIMBY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

NOT RENEWED

Business

First Name

DALE CLAYTON

Last Name

QUIMBY

Suffix

DDS

Business Name

DALE CLAYTON QUIMBY DDS

Original Issue Date

02/07/1985

Effective Date

02/07/1985

Expiration Date

09/30/1996

City

WARSAW

State

Zip

62379

County

HANCOCK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005