JOSEPH BRUCE REDENOUR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

BRUCE

Last Name

REDENOUR

Business Name

JOSEPH BRUCE REDENOUR

Original Issue Date

11/01/1984

Effective Date

09/06/2018

Expiration Date

01/31/2022

City

METROPOLIS

State

Zip

62960

County

MASSAC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022