ERIC JAMES RUNYON 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

ERIC

Middle

JAMES

Last Name

RUNYON

Business Name

ERIC JAMES RUNYON

Original Issue Date

08/05/2014

Effective Date

07/18/2018

Expiration Date

01/31/2022

City

DUPO

State

Zip

62239

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022