JOHN CHRISTENSON REED Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

First Name

JOHN CHRISTENSON

Last Name

REED

Business Name

JOHN CHRISTENSON REED

Original Issue Date

04/20/1994

Effective Date

04/20/1994

Expiration Date

09/30/1994

City

PEORIA

State

Zip

61604

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005