CYNTHIA C BANDERET DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

First Name

CYNTHIA

Middle

Last Name

BANDERET

Suffix

DMD

Business Name

CYNTHIA C BANDERET DMD

Original Issue Date

03/10/2004

Effective Date

09/29/2021

Expiration Date

09/30/2024

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025