NEVILLE DEREK GILMORE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

NOT RENEWED

Business

First Name

NEVILLE DEREK

Last Name

GILMORE

Suffix

DMD

Business Name

NEVILLE DEREK GILMORE DMD

Original Issue Date

01/01/1998

Expiration Date

09/30/1992

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005