RONALD EUGENE MIZER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

NOT RENEWED

Business

First Name

RONALD EUGENE

Last Name

MIZER

Suffix

DDS

Business Name

RONALD EUGENE MIZER DDS

Original Issue Date

01/01/1998

Effective Date

09/16/2015

Expiration Date

09/30/2018

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/31/2018