JANICE MARION ETHINGTON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

NOT RENEWED

Business

First Name

JANICE MARION

Last Name

ETHINGTON

Suffix

DDS

Business Name

JANICE MARION ETHINGTON DDS

Original Issue Date

03/25/1983

Effective Date

09/22/2015

Expiration Date

09/30/2018

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

10/31/2018