ROBERT H KAZMIERSKI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

ROBERT H

Last Name

KAZMIERSKI

Suffix

DMD

Business Name

ROBERT H KAZMIERSKI DMD

Original Issue Date

10/01/1987

Effective Date

10/01/1987

Expiration Date

09/30/1990

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005