CALEB M ESTES Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

NOT RENEWED

Business

First Name

CALEB

Middle

Last Name

ESTES

Business Name

CALEB M ESTES

Original Issue Date

06/08/2012

Effective Date

06/08/2012

Expiration Date

09/30/2015

City

FORT DRUM

State

Zip

13602

County

NEW YORK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016