DWAYNE GAIL SUMMERS 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

DWAYNE GAIL

Last Name

SUMMERS

Suffix

DMD

Business Name

DWAYNE GAIL SUMMERS DMD

Original Issue Date

03/10/1997

Effective Date

08/12/2024

Expiration Date

09/30/2027

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/12/2024