GARY EDWARD DRAKE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

GARY EDWARD

Last Name

DRAKE

Suffix

DDS

Business Name

GARY EDWARD DRAKE DDS

Original Issue Date

01/01/1998

Effective Date

01/28/2016

Expiration Date

09/30/2018

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018