D MICHAEL WATKINS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

First Name

Middle

MICHAEL

Last Name

WATKINS

Suffix

DMD

Business Name

D MICHAEL WATKINS DMD

Original Issue Date

11/07/1988

Effective Date

11/07/1988

Expiration Date

09/30/1990

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005