ANGELA C DAVIS SITERLET DMD 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

ANGELA C

Middle

DAVIS

Last Name

SITERLET

Suffix

DMD

Business Name

ANGELA C DAVIS SITERLET DMD

Original Issue Date

06/17/2014

Effective Date

06/20/2018

Expiration Date

01/31/2022

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022