CARMEN J WINTERLAND Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

INOPERATIVE

Business

First Name

CARMEN J

Last Name

WINTERLAND

Business Name

CARMEN J WINTERLAND

Original Issue Date

10/23/1996

Effective Date

10/23/1996

Expiration Date

09/30/1998

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005