JOHN J THALER II DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

NOT RENEWED

Business

First Name

JOHN J

Last Name

THALER II

Suffix

DDS

Business Name

JOHN J THALER II DDS

Original Issue Date

08/17/1989

Effective Date

08/17/1989

Expiration Date

09/30/1992

City

EAST ALTON

State

Zip

62024

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005