GREGORY J BIDDULPH 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

GREGORY

Middle

Last Name

BIDDULPH

Suffix

DMD

Business Name

GREGORY J BIDDULPH DMD

Original Issue Date

04/05/2005

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

O'FALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/04/2009