GREG D SCHARDT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

NOT RENEWED

Business

Title

DDS

First Name

GREG

Middle

Last Name

SCHARDT

Business Name

GREG D SCHARDT DDS

Original Issue Date

10/07/2005

Effective Date

06/09/2009

Expiration Date

09/30/2012

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012