DARREN L LINE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

First Name

DARREN L

Last Name

LINE

Business Name

DARREN L LINE

Original Issue Date

07/10/1997

Effective Date

09/24/2012

Expiration Date

09/30/2015

City

SPRING VALLEY

State

Zip

61362

County

BUREAU

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016