MICHAEL W HEMBROUGH 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

MICHAEL W

Last Name

HEMBROUGH

Business Name

MICHAEL W HEMBROUGH

Original Issue Date

02/09/1990

Effective Date

02/09/1990

Expiration Date

09/30/1992

City

LENA

State

Zip

61048

County

JO DAVIESS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005