LISA MARIE REUST DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

Title

DDS

First Name

LISA

Middle

MARIE

Last Name

REUST

Business Name

LISA MARIE REUST DDS

Original Issue Date

08/27/2012

Effective Date

03/11/2019

Expiration Date

01/31/2022

City

ST CHARLES

State

Zip

60174

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022