ALBERT WILLIAM TRTANJ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

First Name

ALBERT WILLIAM

Last Name

TRTANJ

Business Name

ALBERT WILLIAM TRTANJ

Original Issue Date

01/01/1998

Effective Date

09/24/2018

Expiration Date

01/31/2022

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022