ALEXANDER JAMES BOERCKEL DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

NOT RENEWED

Business

Title

DMD

First Name

ALEXANDER

Middle

JAMES

Last Name

BOERCKEL

Business Name

ALEXANDER JAMES BOERCKEL DMD

Original Issue Date

06/25/2020

Effective Date

06/25/2020

Expiration Date

01/31/2022

City

PEORIA

State

Zip

61615

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022