CHARLES RICHARD HOLMEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

ACTIVE

Business

First Name

CHARLES RICHARD

Last Name

HOLMEN

Business Name

CHARLES RICHARD HOLMEN

Original Issue Date

08/08/1988

Effective Date

06/10/2024

Expiration Date

09/30/2027

City

WATERLOO

State

Zip

62298

County

MONROE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2024