JONATHAN S BAILEY DMD 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

Last Name

BAILEY

Suffix

DMD

Business Name

JONATHAN S BAILEY DMD

Original Issue Date

10/26/2004

Effective Date

06/07/2024

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2024