MARKUS P ELDRED Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

NOT RENEWED

Business

First Name

MARKUS P

Last Name

ELDRED

Business Name

MARKUS P ELDRED

Original Issue Date

11/08/1983

Effective Date

11/08/1983

Expiration Date

09/30/1988

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2012