GLEN ELDRED ENLOE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

NOT RENEWED

Business

First Name

GLEN ELDRED

Last Name

ENLOE

Suffix

DMD

Business Name

GLEN ELDRED ENLOE DMD

Original Issue Date

01/01/1998

Effective Date

08/31/2012

Expiration Date

09/30/2015

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016