ERVIN SIMMONS IV DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016959

License Status

NOT RENEWED

Business

First Name

ERVIN

Last Name

SIMMONS IV

Suffix

DMD

Business Name

ERVIN SIMMONS IV DMD

Original Issue Date

09/28/1979

Effective Date

09/28/1979

Expiration Date

09/30/1998

City

EAST ST LOUIS

State

Zip

62204

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/12/2005