CHARLES JOSEPH WEST DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

Title

DDS

First Name

CHARLES

Middle

JOSEPH

Last Name

WEST

Business Name

CHARLES JOSEPH WEST DDS

Original Issue Date

02/09/2007

Effective Date

07/09/2009

Expiration Date

09/30/2012

City

FLORA

State

Zip

62839

County

CLAY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/14/2012