TERRY B HENERT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

NOT RENEWED

Business

First Name

TERRY B

Last Name

HENERT

Suffix

DDS

Business Name

TERRY B HENERT DDS

Original Issue Date

07/31/1996

Effective Date

09/22/2009

Expiration Date

09/30/2012

City

CARTHAGE

State

Zip

62321

County

HANCOCK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012