DERYL W DRUM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001565

License Status

NOT RENEWED

Business

First Name

DERYL W

Last Name

DRUM

Business Name

DERYL W DRUM

Original Issue Date

09/27/1991

Effective Date

08/01/2018

Expiration Date

01/31/2022

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

05/09/2022