JASON ALLEN GRAHAM DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

ACTIVE

Business

First Name

JASON ALLEN

Last Name

GRAHAM

Suffix

DMD

Business Name

JASON ALLEN GRAHAM DMD

Original Issue Date

10/06/1997

Effective Date

09/05/2024

Expiration Date

09/30/2027

City

PARIS

State

Zip

61944

County

EDGAR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/05/2024