ANDREA M FOLEY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

FOLEY

Suffix

DMD

Business Name

ANDREA M FOLEY DMD

Original Issue Date

08/24/2005

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009