JOSEPH ANTHONY RENNER JR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

ACTIVE

Business

First Name

JOSEPH

Middle

ANTHONY

Last Name

RENNER

Suffix

Business Name

JOSEPH ANTHONY RENNER JR

Original Issue Date

09/09/1982

Effective Date

08/05/2024

Expiration Date

09/30/2027

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/05/2024