JULIE A GALLOWAY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

NOT RENEWED

Business

First Name

JULIE A

Last Name

GALLOWAY

Suffix

DDS

Business Name

JULIE A GALLOWAY DDS

Original Issue Date

01/21/1993

Effective Date

01/21/1993

Expiration Date

09/30/1996

City

FLORA

State

Zip

62839

County

CLAY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005