GINA A BIEDERMANN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

First Name

GINA A

Last Name

BIEDERMANN

Suffix

DDS

Business Name

GINA A BIEDERMANN DDS

Original Issue Date

07/12/1995

Effective Date

08/05/2009

Expiration Date

09/30/2012

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012