JONATHAN LEE HUME DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

ACTIVE

Business

First Name

JONATHAN

Middle

LEE

Last Name

HUME

Suffix

DDS

Business Name

JONATHAN LEE HUME DDS

Original Issue Date

09/29/1998

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/09/2024