ETHAN J SCHUMAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

Title

DMD

First Name

ETHAN

Middle

Last Name

SCHUMAN

Business Name

ETHAN J SCHUMAN DMD

Original Issue Date

02/23/2012

Effective Date

09/24/2021

Expiration Date

09/30/2024

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

02/04/2025