MARK B HULS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

HULS

Suffix

DMD

Business Name

MARK B HULS DMD

Original Issue Date

06/05/2002

Effective Date

06/05/2002

Expiration Date

09/30/2004

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005