FRED MACNAIR PACEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

NOT RENEWED

Business

First Name

FRED

Middle

MACNAIR

Last Name

PACEY

Suffix

DDS

Business Name

FRED MACNAIR PACEY DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006