MEREDITH ALICE KUNZEMAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

NOT RENEWED

Business

Title

DMD

First Name

MEREDITH

Middle

ALICE

Last Name

KUNZEMAN

Business Name

MEREDITH ALICE KUNZEMAN DMD

Original Issue Date

05/26/2016

Effective Date

05/26/2016

Expiration Date

09/30/2018

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018