JOHN R SPIGELMYER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

ACTIVE

Business

First Name

JOHN

Middle

Last Name

SPIGELMYER

Suffix

DDS

Business Name

JOHN R SPIGELMYER DDS

Original Issue Date

10/27/1992

Effective Date

05/07/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61602

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2024