JAMES B ESTAVER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

First Name

JAMES B

Last Name

ESTAVER

Business Name

JAMES B ESTAVER

Original Issue Date

09/30/1981

Effective Date

06/29/2012

Expiration Date

09/30/2015

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016