EVAN D FIEDLER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

ACTIVE

Business

Title

DDS

First Name

EVAN

Middle

Last Name

FIEDLER

Business Name

EVAN D FIEDLER DDS

Original Issue Date

05/19/2009

Effective Date

07/07/2024

Expiration Date

09/30/2027

City

GRANVILLE

State

Zip

61326

County

PUTNAM

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2024