LILLIAN P OVERALL DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

First Name

LILLIAN

Middle

Last Name

OVERALL

Suffix

DMD

Business Name

LILLIAN P OVERALL DMD

Original Issue Date

08/19/1988

Effective Date

08/08/2018

Expiration Date

01/31/2022

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022