RICHARD ALEXANDE EWALD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

First Name

RICHARD ALEXANDE

Last Name

EWALD

Suffix

DDS

Business Name

RICHARD ALEXANDE EWALD DDS

Original Issue Date

01/01/1998

Effective Date

09/11/2012

Expiration Date

09/30/2015

City

OTTAWA

State

Zip

61350

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016