PATRICK JAMES CONDIT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

NOT RENEWED

Business

First Name

PATRICK

Middle

JAMES

Last Name

CONDIT

Suffix

DDS

Business Name

PATRICK JAMES CONDIT DDS

Original Issue Date

04/24/2012

Effective Date

08/29/2012

Expiration Date

09/30/2015

City

GRAND RAPIDS

State

Zip

49506

County

MICHIGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016