DAVID R SCHLEUSENER Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

INACTIVE

Business

First Name

DAVID

Middle

Last Name

SCHLEUSENER

Business Name

DAVID R SCHLEUSENER

Original Issue Date

10/25/2001

Effective Date

07/25/2018

Expiration Date

12/31/2021

City

BETTENDORF

State

Zip

52722

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/25/2021