MELANIE LELA VADNAL 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

First Name

MELANIE

Middle

LELA

Last Name

VADNAL

Suffix

DMD

Business Name

MELANIE LELA VADNAL DMD

Original Issue Date

02/17/2006

Effective Date

06/18/2012

Expiration Date

09/30/2015

City

GLEN CARBON

State

Zip

62034

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016