LUCAS OSCAR WINEBAUGH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

ACTIVE

Business

Title

DMD

First Name

LUCAS

Middle

OSCAR

Last Name

WINEBAUGH

Business Name

LUCAS OSCAR WINEBAUGH DMD

Original Issue Date

06/24/2019

Effective Date

05/08/2024

Expiration Date

09/30/2027

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/08/2024