PHILIP M ACKER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

First Name

PHILIP M

Last Name

ACKER

Suffix

DDS

Business Name

PHILIP M ACKER DDS

Original Issue Date

03/20/1997

Effective Date

06/12/2018

Expiration Date

01/31/2022

City

MILLSTADT

State

Zip

62260

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022