JONATHAN WAYNE BURTON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

WAYNE

Last Name

BURTON

Suffix

DMD

Business Name

JONATHAN WAYNE BURTON DMD

Original Issue Date

07/03/2003

Effective Date

08/31/2009

Expiration Date

09/30/2012

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012