ERIC MILTON LANGENWALTER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

ACTIVE

Business

First Name

ERIC MILTON

Last Name

LANGENWALTER

Business Name

ERIC MILTON LANGENWALTER

Original Issue Date

03/29/1988

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

EAST ALTON

State

Zip

62024

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2024