ERIC ANDREW BERLA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

ANDREW

Last Name

BERLA

Suffix

DMD

Business Name

ERIC ANDREW BERLA DMD

Original Issue Date

01/01/1998

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

WATERLOO

State

Zip

62298

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022