DENNIS C BURTON 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

DENNIS C

Last Name

BURTON

Business Name

DENNIS C BURTON

Original Issue Date

10/11/1990

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009