LLOYD GEORGE FORESTER JR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

NOT RENEWED

Business

First Name

LLOYD

Middle

GEORGE

Last Name

FORESTER

Suffix

Business Name

LLOYD GEORGE FORESTER JR

Original Issue Date

11/20/2006

Effective Date

09/20/2018

Expiration Date

01/31/2022

City

DUPO

State

Zip

62239

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022