CASIE N BURK JONES Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

NOT RENEWED

Business

First Name

CASIE

Middle

Last Name

BURK JONES

Business Name

CASIE N BURK JONES

Original Issue Date

07/13/2007

Effective Date

06/28/2012

Expiration Date

09/30/2015

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016