VALERIE NICOLE SPIVEY WERNER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

ACTIVE

Business

First Name

VALERIE

Middle

NICOLE

Last Name

SPIVEY WERNER

Suffix

DMD

Business Name

VALERIE NICOLE SPIVEY WERNER DMD

Original Issue Date

07/26/2010

Effective Date

06/21/2024

Expiration Date

09/30/2027

City

EDWARDSVILLE

State

Zip

62025

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2024