TIMOTHY JON LEMNA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

NOT RENEWED

Business

First Name

TIMOTHY JON

Last Name

LEMNA

Business Name

TIMOTHY JON LEMNA

Original Issue Date

01/01/1998

Expiration Date

09/30/1998

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005