EDWARD L ST PETERS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

ACTIVE

Business

First Name

EDWARD L

Last Name

ST PETERS

Business Name

EDWARD L ST PETERS

Original Issue Date

12/06/1984

Effective Date

09/20/2024

Expiration Date

09/30/2027

City

EAST ALTON

State

Zip

62024

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/20/2024