DEAN WARREN DRAKE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015356

License Status

NOT RENEWED

Business

First Name

DEAN WARREN

Last Name

DRAKE

Suffix

DMD

Business Name

DEAN WARREN DRAKE DMD

Original Issue Date

10/07/1975

Effective Date

06/17/2015

Expiration Date

09/30/2018

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/31/2018