HENRY JOE TAGLE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026089

License Status

NOT RENEWED

Business

First Name

HENRY

Middle

JOE

Last Name

TAGLE

Suffix

DMD

Business Name

HENRY JOE TAGLE DMD

Original Issue Date

04/21/2003

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

11/08/2006