RONALD D GERSTEN 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

RONALD D

Last Name

GERSTEN

Suffix

DDS

Business Name

RONALD D GERSTEN DDS

Original Issue Date

01/29/1997

Effective Date

06/22/2009

Expiration Date

09/30/2012

City

DUPO

State

Zip

62239

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012