JAMES T FETSCH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

Last Name

FETSCH

Suffix

DMD

Business Name

JAMES T FETSCH DMD

Original Issue Date

04/13/2011

Effective Date

07/14/2016

Expiration Date

09/30/2018

City

HIGHLAND

State

Zip

62249

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018