JOHN ZACHARY MIDDLETON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

Title

DMD

First Name

JOHN

Middle

ZACHARY

Last Name

MIDDLETON

Business Name

JOHN ZACHARY MIDDLETON DMD

Original Issue Date

07/07/2014

Effective Date

07/07/2014

Expiration Date

09/30/2015

City

PEKIN

State

Zip

61554

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016