MARK EDWARD BEEHNER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

NOT RENEWED

Business

First Name

MARK

Middle

EDWARD

Last Name

BEEHNER

Suffix

DDS

Business Name

MARK EDWARD BEEHNER DDS

Original Issue Date

01/31/2007

Effective Date

07/16/2012

Expiration Date

09/30/2015

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016