PATRICIA M JOVELL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

NOT RENEWED

Business

First Name

PATRICIA M

Last Name

JOVELL

Business Name

PATRICIA M JOVELL

Original Issue Date

11/18/1988

Effective Date

11/18/1988

Expiration Date

09/30/1992

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/13/2005