ETHAN THOMAS GROUNDS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

ACTIVE

Business

Title

DMD

First Name

ETHAN

Middle

THOMAS

Last Name

GROUNDS

Business Name

ETHAN THOMAS GROUNDS DMD

Original Issue Date

06/07/2017

Effective Date

07/19/2024

Expiration Date

09/30/2027

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2024