GERALD P RUNDE DDS 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

GERALD P

Last Name

RUNDE

Suffix

DDS

Business Name

GERALD P RUNDE DDS

Original Issue Date

08/05/1981

Effective Date

06/15/2018

Expiration Date

01/31/2022

City

TEUTOPOLIS

State

Zip

62467

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022