DAVID JAY VESELY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

JAY

Last Name

VESELY

Suffix

DMD

Business Name

DAVID JAY VESELY DMD

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

FARMER CITY

State

Zip

61842

County

DE WITT

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005