KIRK C QUIGLESS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

ACTIVE

Business

First Name

KIRK C

Last Name

QUIGLESS

Business Name

KIRK C QUIGLESS

Original Issue Date

02/05/1996

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/24/2024