BRIAN H REYNOLDS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

REYNOLDS

Suffix

DMD

Business Name

BRIAN H REYNOLDS DMD

Original Issue Date

08/08/1988

Effective Date

06/11/2015

Expiration Date

09/30/2018

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018