DENNIS JAMES GUARDIA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

NOT RENEWED

Business

First Name

DENNIS JAMES

Last Name

GUARDIA

Suffix

DMD

Business Name

DENNIS JAMES GUARDIA DMD

Original Issue Date

01/01/1998

Effective Date

09/11/2012

Expiration Date

09/30/2015

City

MOUNT OLIVE

State

Zip

62069

County

MACOUPIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016