JON PATRICK IRELAN - Dentist License in Wisconsin | # 31*****16

JON PATRICK IRELAN

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

NOT RENEWED

Business

N

First Name

JON

Middle

PATRICK

Last Name

IRELAN

Business Name

JON PATRICK IRELAN

Original Issue Date

04/04/2017

Effective Date

10/02/2018

Expiration Date

01/31/2022

State

WI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

05/09/2022