JAMES E VANDEWATER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

First Name

JAMES E

Last Name

VANDEWATER

Business Name

JAMES E VANDEWATER

Original Issue Date

10/22/1986

Effective Date

10/22/1986

Expiration Date

09/30/1992

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005