EDGAR JAMES BREDA JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000190

License Status

NOT RENEWED

Business

First Name

EDGAR JAMES

Last Name

BREDA JR

Suffix

DDS

Business Name

EDGAR JAMES BREDA JR DDS

Original Issue Date

01/09/1990

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

05/09/2022