CHARLES FORREST KNEEDLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

NOT RENEWED

Business

Title

DDS

First Name

CHARLES

Middle

FORREST

Last Name

KNEEDLER

Business Name

CHARLES FORREST KNEEDLER DDS

Original Issue Date

01/01/1998

Effective Date

10/16/2015

Expiration Date

09/30/2018

City

O'FALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/31/2018