JONATHAN T MEARS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

Last Name

MEARS

Suffix

DMD

Business Name

JONATHAN T MEARS DMD

Original Issue Date

07/19/2004

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009