CHARLES D CONLEY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

Last Name

CONLEY

Suffix

DMD

Business Name

CHARLES D CONLEY DMD

Original Issue Date

06/27/2003

Effective Date

06/27/2003

Expiration Date

09/30/2006

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006