OSCAR DAVID ROSARIO PEREZ 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

OSCAR

Middle

DAVID

Last Name

ROSARIO PEREZ

Business Name

OSCAR DAVID ROSARIO PEREZ DMD

Original Issue Date

09/14/2011

Effective Date

09/05/2012

Expiration Date

09/30/2015

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/08/2016