CHARLES THOMAS EILER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

NOT RENEWED

Business

First Name

CHARLES THOMAS

Last Name

EILER

Business Name

CHARLES THOMAS EILER

Original Issue Date

08/05/1983

Effective Date

08/05/1983

Expiration Date

09/30/1988

City

HIGHLAND

State

Zip

62249

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005