LARRY HERBERT RAPP DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

NOT RENEWED

Business

First Name

LARRY HERBERT

Last Name

RAPP

Suffix

DDS

Business Name

LARRY HERBERT RAPP DDS

Original Issue Date

01/01/1998

Effective Date

09/11/2018

Expiration Date

01/31/2022

City

GLEN CARBON

State

Zip

62034

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022