CAROLINE A CONNOLLY DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

ACTIVE

Business

First Name

CAROLINE

Middle

Last Name

CONNOLLY

Suffix

DMD

Business Name

CAROLINE A CONNOLLY DMD

Original Issue Date

02/21/2003

Effective Date

09/12/2024

Expiration Date

09/30/2027

City

MILLSTADT

State

Zip

62260

County

SAINT CLAIR

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/12/2024