ARVIN JENE CROSE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

NOT RENEWED

Business

First Name

ARVIN

Middle

JENE

Last Name

CROSE

Suffix

DDS

Business Name

ARVIN JENE CROSE DDS

Original Issue Date

09/29/1989

Effective Date

09/29/1989

Expiration Date

09/30/2004

City

GODFREY

State

Zip

62035

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005