MATTHEW ADAMS PRAY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

ADAMS

Last Name

PRAY

Suffix

DMD

Business Name

MATTHEW ADAMS PRAY DMD

Original Issue Date

06/11/2008

Effective Date

06/11/2008

Expiration Date

09/30/2009

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009