GARET ROSS KOXLIEN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

Title

DMD

First Name

GARET

Middle

ROSS

Last Name

KOXLIEN

Business Name

GARET ROSS KOXLIEN DMD

Original Issue Date

09/12/2016

Effective Date

04/04/2022

Expiration Date

09/30/2024

City

GALESVILLE

State

Zip

54630

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025