CHRISTA Y SPATES DDS Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

INOPERATIVE

Business

First Name

CHRISTA Y

Last Name

SPATES

Suffix

DDS

Business Name

CHRISTA Y SPATES DDS

Original Issue Date

09/05/1997

Effective Date

09/05/1997

Expiration Date

09/30/2002

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005