HOMER A BRETHAUER 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

HOMER A

Last Name

BRETHAUER

Business Name

HOMER A BRETHAUER

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

10/13/2005