JAMES RALPH DAVIDSMEYER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

NOT RENEWED

Business

First Name

JAMES RALPH

Last Name

DAVIDSMEYER

Business Name

JAMES RALPH DAVIDSMEYER

Original Issue Date

01/01/1998

Effective Date

08/17/2012

Expiration Date

09/30/2015

City

BEARDSTOWN

State

Zip

62618

County

CASS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016