KEVIN LEE MUELLER 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

KEVIN

Middle

LEE

Last Name

MUELLER

Suffix

DMD

Business Name

KEVIN LEE MUELLER DMD

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005