PERDITA J FISHER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

NOT RENEWED

Business

First Name

PERDITA

Middle

Last Name

FISHER

Suffix

DMD

Business Name

PERDITA J FISHER DMD

Original Issue Date

12/12/1995

Effective Date

12/12/1995

Expiration Date

09/30/1998

City

EAST ST LOUIS

State

Zip

62263

County

WASHINGTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005