SPENCER ELWOOD ZAUGG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

First Name

SPENCER

Middle

ELWOOD

Last Name

ZAUGG

Business Name

SPENCER ELWOOD ZAUGG

Original Issue Date

12/18/2002

Effective Date

12/18/2002

Expiration Date

09/30/2004

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005