DENIS E SIMON III DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

First Name

DENIS E

Last Name

SIMON III

Suffix

DDS

Business Name

DENIS E SIMON III DDS

Original Issue Date

07/31/1981

Effective Date

07/31/1981

Expiration Date

09/30/1984

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005