JAMES E VANDEWATER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

NOT RENEWED

Business

First Name

JAMES E

Last Name

VANDEWATER

Business Name

JAMES E VANDEWATER

Original Issue Date

09/11/1987

Effective Date

09/11/1987

Expiration Date

09/30/1988

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005