EMMANUEL SALAR DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

NOT RENEWED

Business

Title

DMD

First Name

EMMANUEL

Last Name

SALAR

Business Name

EMMANUEL SALAR DMD

Original Issue Date

07/21/2020

Effective Date

07/21/2020

Expiration Date

01/31/2022

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

05/09/2022