CAROLINA OSPINA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

Title

DMD

First Name

CAROLINA

Last Name

OSPINA

Business Name

CAROLINA OSPINA DMD

Original Issue Date

09/09/2014

Effective Date

09/09/2014

Expiration Date

09/30/2015

City

EAST SAINT LOUIS

State

Zip

62205

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

02/08/2016