JAMES M HOUSEWORTH IV 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

JAMES M

Last Name

HOUSEWORTH IV

Suffix

DDS

Business Name

JAMES M HOUSEWORTH IV DDS

Original Issue Date

01/01/1998

Effective Date

07/02/2015

Expiration Date

09/30/2018

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018