STEVEN MICHAEL FREY 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

STEVEN

Middle

MICHAEL

Last Name

FREY

Business Name

STEVEN MICHAEL FREY DDS

Original Issue Date

08/30/2012

Effective Date

08/30/2012

Expiration Date

09/30/2015

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016