ROBERT JOHN HERBERGER 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

ROBERT JOHN

Last Name

HERBERGER

Business Name

ROBERT JOHN HERBERGER

Original Issue Date

09/19/1983

Effective Date

09/19/1983

Expiration Date

09/30/1984

City

CLAYTON

State

Zip

62324

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005