JANA MARLEE LEDIC DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

NOT RENEWED

Business

Title

DDS

First Name

JANA

Middle

MARLEE

Last Name

LEDIC

Business Name

JANA MARLEE LEDIC DDS

Original Issue Date

08/08/2013

Effective Date

08/08/2013

Expiration Date

09/30/2015

City

POPLAR GROVE

State

Zip

61065

County

BOONE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016