ALEX EDWARD SUDHOLT DMD Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

CANCELLED

Business

First Name

ALEX EDWARD

Last Name

SUDHOLT

Suffix

DMD

Business Name

ALEX EDWARD SUDHOLT DMD

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2006