ERIC B LANGELLIER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

Last Name

LANGELLIER

Suffix

DMD

Business Name

ERIC B LANGELLIER DMD

Original Issue Date

06/28/2005

Effective Date

12/10/2009

Expiration Date

09/30/2012

City

CASEY

State

Zip

62420

County

CLARK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/14/2012