FREDERICK GUSTAVE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000296

License Status

ACTIVE

Business

First Name

FREDERICK

Last Name

GUSTAVE

Suffix

DDS

Business Name

FREDERICK GUSTAVE DDS

Original Issue Date

07/24/1992

Effective Date

09/15/2024

Expiration Date

09/30/2027

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

09/15/2024