MARK ALAN BELCHER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

NOT RENEWED

Business

First Name

MARK ALAN

Last Name

BELCHER

Business Name

MARK ALAN BELCHER

Original Issue Date

11/05/1982

Effective Date

07/06/2012

Expiration Date

09/30/2015

City

BUNKER HILL

State

Zip

62014

County

MACOUPIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016