RONALD EDWARD PRENZEL DMD Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

INOPERATIVE

Business

First Name

RONALD

Middle

EDWARD

Last Name

PRENZEL

Suffix

DMD

Business Name

RONALD EDWARD PRENZEL DMD

Original Issue Date

08/21/1998

Effective Date

08/21/1998

Expiration Date

09/30/2002

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005