TIMOTHY J PRANGER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

ACTIVE

Business

First Name

TIMOTHY J

Last Name

PRANGER

Business Name

TIMOTHY J PRANGER

Original Issue Date

07/24/1987

Effective Date

09/05/2024

Expiration Date

09/30/2027

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/05/2024