STEVEN BARRY EATON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

BARRY

Last Name

EATON

Suffix

DDS

Business Name

STEVEN BARRY EATON DDS

Original Issue Date

08/03/1981

Effective Date

09/22/2009

Expiration Date

09/30/2012

City

MADISON

State

Zip

53704

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012