ERIK ZACHARY SOLBERG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

NOT RENEWED

Business

First Name

ERIK

Middle

ZACHARY

Last Name

SOLBERG

Business Name

ERIK ZACHARY SOLBERG

Original Issue Date

06/09/2015

Effective Date

06/09/2015

Expiration Date

09/30/2018

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018