MONROE M GINSBURG Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

CANCELLED

Business

First Name

MONROE M

Last Name

GINSBURG

Business Name

MONROE M GINSBURG

Original Issue Date

12/17/2002

Effective Date

12/17/2002

Expiration Date

09/30/2006

City

DUPO

State

Zip

62239

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2006