THEODORE YOUNG TUTWILER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

YOUNG

Last Name

TUTWILER

Business Name

THEODORE YOUNG TUTWILER

Original Issue Date

08/09/2019

Effective Date

08/09/2019

Expiration Date

01/31/2022

City

SAN ANTONIO

State

Zip

78249

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022