MICHAEL N SCHAULAT Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

ACTIVE

Business

First Name

MICHAEL N

Last Name

SCHAULAT

Business Name

MICHAEL N SCHAULAT

Original Issue Date

09/17/1984

Effective Date

06/10/2024

Expiration Date

09/30/2027

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2024