MICHAEL JOSEPH SCHAUWECKER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****73

License Status

NOT RENEWED

Business

First Name

MICHAEL JOSEPH

Last Name

SCHAUWECKER

Business Name

MICHAEL JOSEPH SCHAUWECKER

Original Issue Date

10/24/1983

Effective Date

10/24/1983

Expiration Date

09/30/1984

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005