JAMES JEFFREY DRAKE 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

Title

DMD

First Name

JAMES

Middle

JEFFREY

Last Name

DRAKE

Business Name

JAMES JEFFREY DRAKE DMD

Original Issue Date

07/11/2011

Effective Date

07/11/2011

Expiration Date

09/30/2012

City

EL PASO

State

Zip

61738

County

WOODFORD

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012