AARON WADE ETCHESON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

ACTIVE

Business

First Name

AARON

Middle

WADE

Last Name

ETCHESON

Suffix

DMD

Business Name

AARON WADE ETCHESON DMD

Original Issue Date

07/24/2000

Effective Date

05/20/2024

Expiration Date

09/30/2027

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

05/20/2024