MARIA ANTONIA ELIZALDE WINEMILLER DMD 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

MARIA ANTONIA

Middle

ELIZALDE

Last Name

WINEMILLER

Suffix

DMD

Business Name

MARIA ANTONIA ELIZALDE WINEMILLER DMD

Original Issue Date

07/26/2011

Effective Date

07/26/2011

Expiration Date

09/30/2012

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012