DEAN WARREN DRAKE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

NOT RENEWED

Business

First Name

DEAN WARREN

Last Name

DRAKE

Suffix

DMD

Business Name

DEAN WARREN DRAKE DMD

Original Issue Date

01/01/1998

Effective Date

09/23/2015

Expiration Date

09/30/2018

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018