JOLENE MARIE DAGUE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

Title

DDS

First Name

JOLENE

Middle

MARIE

Last Name

DAGUE

Business Name

JOLENE MARIE DAGUE DDS

Original Issue Date

12/28/2011

Effective Date

09/24/2018

Expiration Date

01/31/2022

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022