JACOB ALAN SCHUETTE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

Title

DMD

First Name

JACOB

Middle

ALAN

Last Name

SCHUETTE

Business Name

JACOB ALAN SCHUETTE DMD

Original Issue Date

06/04/2010

Effective Date

06/04/2010

Expiration Date

09/30/2012

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

11/14/2012