JEFFREY VERNON NOLL DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

ACTIVE

Business

First Name

JEFFREY VERNON

Last Name

NOLL

Suffix

DDS

Business Name

JEFFREY VERNON NOLL DDS

Original Issue Date

06/01/1983

Effective Date

07/11/2024

Expiration Date

09/30/2027

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2024