GARY M HENLEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

HENLEY

Suffix

DDS

Business Name

GARY M HENLEY DDS

Original Issue Date

04/23/2018

Effective Date

04/23/2018

Expiration Date

09/30/2018

City

EAST SAINT LOUIS

State

Zip

62201

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018