RICHARD EDGAR GUNDLACH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

NOT RENEWED

Business

First Name

RICHARD EDGAR

Last Name

GUNDLACH

Suffix

DDS

Business Name

RICHARD EDGAR GUNDLACH DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005