ERIK ZACHARY SOLBERG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000934

License Status

NOT RENEWED

Business

First Name

ERIK

Middle

ZACHARY

Last Name

SOLBERG

Business Name

ERIK ZACHARY SOLBERG

Original Issue Date

09/24/2015

Effective Date

09/24/2015

Expiration Date

09/30/2018

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

10/31/2018