ADDISON D LENTZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

First Name

ADDISON

Middle

Last Name

LENTZ

Business Name

ADDISON D LENTZ

Original Issue Date

08/31/2015

Effective Date

06/15/2018

Expiration Date

01/31/2022

City

KANSAS CITY

State

Zip

64108

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022