DAVID L DANNER DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

CANCELLED

Business

First Name

DAVID L

Last Name

DANNER

Suffix

DDS

Business Name

DAVID L DANNER DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

PEKIN

State

Zip

61554

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005