JESSICA L WEAVER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

NOT RENEWED

Business

First Name

JESSICA L

Last Name

WEAVER

Suffix

DMD

Business Name

JESSICA L WEAVER DMD

Original Issue Date

09/01/1995

Effective Date

09/01/1995

Expiration Date

09/30/2000

City

STERLING

State

Zip

61081

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005