JONATHAN THOMAS MISNER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000880

License Status

NOT RENEWED

Business

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

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

10/31/2018