RICHARD L BERNARD JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

License Status

NOT RENEWED

Business

First Name

RICHARD L

Last Name

BERNARD JR

Suffix

DDS

Business Name

RICHARD L BERNARD JR DDS

Original Issue Date

01/01/1998

Effective Date

12/11/2015

Expiration Date

09/30/2018

City

ELMWOOD

State

Zip

61529

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018