SCOTT DOUGLAS KLOHR 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

Title

DMD

First Name

SCOTT

Middle

DOUGLAS

Last Name

KLOHR

Business Name

SCOTT DOUGLAS KLOHR DMD

Original Issue Date

12/15/2023

Effective Date

12/15/2023

Expiration Date

09/30/2024

City

WATERLOO

State

Zip

62298

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025