VAL H BINGHAM DDS 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

VAL

Middle

Last Name

BINGHAM

Suffix

DDS

Business Name

VAL H BINGHAM DDS

Original Issue Date

08/17/2004

Effective Date

08/17/2004

Expiration Date

09/30/2006

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006