DR MARGRIT WIRTH 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

DR MARGRIT

Last Name

WIRTH

Business Name

DR MARGRIT WIRTH

Original Issue Date

01/01/1998

Expiration Date

09/30/1994

City

EDWARDSVILLE

State

Zip

62026

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005