KARL E REBENSCHIED JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

NOT RENEWED

Business

First Name

KARL

Middle

Last Name

REBENSCHIED

Suffix

JR DDS

Business Name

KARL E REBENSCHIED JR DDS

Original Issue Date

01/01/1998

Effective Date

08/04/2009

Expiration Date

09/30/2012

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012