MICHAEL T CARROW DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

MICHAEL T

Last Name

CARROW

Suffix

DMD

Business Name

MICHAEL T CARROW DMD

Original Issue Date

02/08/1996

Effective Date

10/01/2012

Expiration Date

09/30/2015

City

GODFREY

State

Zip

62035

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016