GRACIELA ROMO DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

ACTIVE

Business

Title

DMD

First Name

GRACIELA

Last Name

ROMO

Business Name

GRACIELA ROMO DMD

Original Issue Date

09/20/2019

Effective Date

09/18/2024

Expiration Date

09/30/2027

City

CASEYVILLE

State

Zip

62232

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/18/2024