AARON WADE ETCHESON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000667

License Status

NOT RENEWED

Business

First Name

AARON

Middle

WADE

Last Name

ETCHESON

Suffix

DMD

Business Name

AARON WADE ETCHESON DMD

Original Issue Date

09/22/2005

Effective Date

11/23/2005

Expiration Date

09/30/2006

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

11/08/2006