ETHAN MCCREERY DUEWER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

Title

DMD

First Name

ETHAN

Middle

MCCREERY

Last Name

DUEWER

Business Name

ETHAN MCCREERY DUEWER DMD

Original Issue Date

09/05/2017

Effective Date

09/05/2017

Expiration Date

09/30/2018

City

JACKSONVILLE

State

Zip

62650

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018