JONATHAN THOMAS MISNER DMD - Dentist License in Illinois | # 137000880

JONATHAN THOMAS MISNER DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000880

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

JONATHAN

Middle

THOMAS

Last Name

MISNER

Business Name

JONATHAN THOMAS MISNER DMD

Original Issue Date

10/09/2013

Effective Date

09/30/2015

Expiration Date

09/30/2018

State

IL

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

N

LastModifiedDate

10/31/2018