TIMOTHY FRANCIS POWERS 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

TIMOTHY FRANCIS

Last Name

POWERS

Business Name

TIMOTHY FRANCIS POWERS

Original Issue Date

04/18/1984

Effective Date

04/18/1984

Expiration Date

09/30/1994

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005