DONALD JENNINGS LANE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

NOT RENEWED

Business

First Name

DONALD JENNINGS

Last Name

LANE

Business Name

DONALD JENNINGS LANE

Original Issue Date

09/27/1984

Effective Date

09/27/1984

Expiration Date

09/30/1990

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005