ERVIN SIMMONS IV DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

NOT RENEWED

Business

First Name

ERVIN

Last Name

SIMMONS IV

Suffix

DMD

Business Name

ERVIN SIMMONS IV DMD

Original Issue Date

01/01/1998

Expiration Date

09/30/1998

City

EAST ST LOUIS

State

Zip

62204

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005