GERALD R DRAGICH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

ACTIVE

Business

First Name

GERALD R

Last Name

DRAGICH

Suffix

DMD

Business Name

GERALD R DRAGICH DMD

Original Issue Date

01/01/1998

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2024