JAMES CLARK ALEXANDER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

CLARK

Last Name

ALEXANDER

Suffix

DMD

Business Name

JAMES CLARK ALEXANDER DMD

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006