AUGUST J SCIALFA JR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

NOT RENEWED

Business

First Name

AUGUST J

Last Name

SCIALFA JR

Business Name

AUGUST J SCIALFA JR

Original Issue Date

03/09/1989

Effective Date

03/09/1989

Expiration Date

09/30/1990

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/13/2005