LAUREN ELIZABETH ASP DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

Title

DDS

First Name

LAUREN

Middle

ELIZABETH

Last Name

ASP

Business Name

LAUREN ELIZABETH ASP DDS

Original Issue Date

06/28/2016

Effective Date

06/28/2016

Expiration Date

09/30/2018

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018