MICHAEL RAY HESTERBERG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

First Name

MICHAEL RAY

Last Name

HESTERBERG

Business Name

MICHAEL RAY HESTERBERG

Original Issue Date

08/20/1993

Effective Date

09/02/2015

Expiration Date

09/30/2018

City

GLEN CARBON

State

Zip

62034

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018