DONALD WILLIAM HORTON 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

DONALD WILLIAM

Last Name

HORTON

Business Name

DONALD WILLIAM HORTON

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005