AVERY C POWELL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

First Name

AVERY

Middle

Last Name

POWELL

Suffix

DDS

Business Name

AVERY C POWELL DDS

Original Issue Date

10/18/1991

Effective Date

10/18/1991

Expiration Date

09/30/1992

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005