JAMIE NICOLE PIEPER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

NOT RENEWED

Business

Title

DDS

First Name

JAMIE

Middle

NICOLE

Last Name

PIEPER

Business Name

JAMIE NICOLE PIEPER DDS

Original Issue Date

09/16/2020

Effective Date

12/01/2021

Expiration Date

09/30/2024

City

METAMORA

State

Zip

61548

County

WOODFORD

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025