MARY ALICE MUELLER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

NOT RENEWED

Business

First Name

MARY ALICE

Last Name

MUELLER

Business Name

MARY ALICE MUELLER

Original Issue Date

08/23/1983

Effective Date

08/14/2015

Expiration Date

09/30/2018

City

LA SALLE

State

Zip

61301

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018