ANDREW JOHN WEBER DMD Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

CANCELLED

Business

First Name

ANDREW

Middle

JOHN

Last Name

WEBER

Suffix

DMD

Business Name

ANDREW JOHN WEBER DMD

Original Issue Date

10/13/1998

Effective Date

10/13/1998

Expiration Date

09/30/2006

City

GLEN CARBON

State

Zip

62034

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2006