FREDERICK GUSTAVE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016600

License Status

ACTIVE

Business

First Name

FREDERICK

Last Name

GUSTAVE

Suffix

DDS

Business Name

FREDERICK GUSTAVE DDS

Original Issue Date

01/26/1979

Effective Date

09/15/2024

Expiration Date

09/30/2027

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/15/2024

Case Number

1991005340

Action

Reprimand

Discipline Start Date

07/15/1992