MORGAN RAE RENNER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

ACTIVE

Business

Title

DMD

First Name

MORGAN

Middle

RAE

Last Name

RENNER

Business Name

MORGAN RAE RENNER DMD

Original Issue Date

10/27/2016

Effective Date

06/14/2024

Expiration Date

09/30/2027

City

DUNLAP

State

Zip

61525

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2024