TRACI J DANTZLER Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

CANCELLED

Business

First Name

TRACI J

Last Name

DANTZLER

Business Name

TRACI J DANTZLER

Original Issue Date

12/08/1988

Effective Date

12/08/1988

Expiration Date

09/30/1994

City

FLINT

State

Zip

48507

County

MICHIGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005