KEVIN J QUADE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

NOT RENEWED

Business

First Name

KEVIN J

Last Name

QUADE

Suffix

DMD

Business Name

KEVIN J QUADE DMD

Original Issue Date

09/27/1993

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009