DANIEL J CASTILLO DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

NOT RENEWED

Business

First Name

DANIEL J

Last Name

CASTILLO

Suffix

DMD

Business Name

DANIEL J CASTILLO DMD

Original Issue Date

06/12/1996

Effective Date

06/12/1996

Expiration Date

09/30/1998

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005