DENZEL D JINES II DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

First Name

DENZEL D

Last Name

JINES II

Suffix

DMD

Business Name

DENZEL D JINES II DMD

Original Issue Date

03/01/1995

Effective Date

03/01/1995

Expiration Date

09/30/2002

City

LEBANON

State

Zip

62254

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005