HENRY GEORGE ELSBACH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

First Name

HENRY GEORGE

Last Name

ELSBACH

Suffix

DDS

Business Name

HENRY GEORGE ELSBACH DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

ST. PETERS

State

Zip

63376

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005