PATRICK ALAN BERNARDI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

First Name

PATRICK ALAN

Last Name

BERNARDI

Suffix

DMD

Business Name

PATRICK ALAN BERNARDI DMD

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

LITCHFIELD

State

Zip

62056

County

MACOUPIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005