GERDA M THALHEIMER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

NOT RENEWED

Business

Title

DDS

First Name

GERDA

Middle

Last Name

THALHEIMER

Business Name

GERDA M THALHEIMER DDS

Original Issue Date

10/28/2008

Effective Date

08/24/2009

Expiration Date

09/30/2012

City

ST LOUIS

State

Zip

63119

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012