LEO NORBERT DUMSTORFF JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

NOT RENEWED

Business

Title

DDS

First Name

LEO

Middle

NORBERT

Last Name

DUMSTORFF

Suffix

Business Name

LEO NORBERT DUMSTORFF JR DDS

Original Issue Date

01/01/1998

Effective Date

08/31/2009

Expiration Date

09/30/2012

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

11/14/2012