GEORGE DIKTABAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

First Name

GEORGE

Last Name

DIKTABAN

Suffix

DDS

Business Name

GEORGE DIKTABAN DDS

Original Issue Date

12/26/1991

Effective Date

01/30/2014

Expiration Date

09/30/2015

City

LUBBOCK

State

Zip

79412

County

TEXAS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016