EDWARD HENRY SOPER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

NOT RENEWED

Business

First Name

EDWARD HENRY

Last Name

SOPER

Suffix

DDS

Business Name

EDWARD HENRY SOPER DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

MCKENZIE

State

Zip

38201

County

TENNESSEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005