VALERIE NICOLE SPIVEY WERNER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

NOT RENEWED

Business

First Name

VALERIE

Middle

NICOLE

Last Name

SPIVEY WERNER

Suffix

DMD

Business Name

VALERIE NICOLE SPIVEY WERNER DMD

Original Issue Date

08/17/2017

Effective Date

09/23/2021

Expiration Date

09/30/2024

City

EDWARDSVILLE

State

Zip

62025

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025