RANDAL WAYNE MCBRIDE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

ACTIVE

Business

First Name

RANDAL WAYNE

Last Name

MCBRIDE

Business Name

RANDAL WAYNE MCBRIDE

Original Issue Date

08/13/1982

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

SAINT LOUIS

State

Zip

63128

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/09/2024