KEVIN DONALD MORSE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

NOT RENEWED

Business

Title

DDS

First Name

KEVIN

Middle

DONALD

Last Name

MORSE

Business Name

KEVIN DONALD MORSE DDS

Original Issue Date

12/14/2009

Effective Date

12/14/2009

Expiration Date

09/30/2012

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012