MEGHAN D CONDIT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

First Name

MEGHAN

Middle

Last Name

CONDIT

Business Name

MEGHAN D CONDIT

Original Issue Date

06/07/2011

Effective Date

07/30/2012

Expiration Date

09/30/2015

City

GRAND RAPIDS

State

Zip

49506

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016