RICKIE WAYNE PENNY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

NOT RENEWED

Business

First Name

RICKIE WAYNE

Last Name

PENNY

Business Name

RICKIE WAYNE PENNY

Original Issue Date

02/08/1984

Effective Date

09/28/2015

Expiration Date

09/30/2018

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018