ANN M MCINTYRE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

NOT RENEWED

Business

First Name

ANN

Middle

Last Name

MCINTYRE

Business Name

ANN M MCINTYRE

Original Issue Date

11/04/2015

Effective Date

10/16/2021

Expiration Date

09/30/2024

City

GALVA

State

Zip

61434

County

HENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025