NICK STAFFORD OWINGS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

First Name

NICK STAFFORD

Last Name

OWINGS

Suffix

DDS

Business Name

NICK STAFFORD OWINGS DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

KALAMAZOO

State

Zip

49007

County

MICHIGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005