EDGAR JAMES BREDA JR DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

INACTIVE

Business

First Name

EDGAR JAMES

Last Name

BREDA JR

Suffix

DDS

Business Name

EDGAR JAMES BREDA JR DDS

Original Issue Date

04/10/1990

Effective Date

06/07/2018

Expiration Date

12/31/2021

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/22/2021