JAN C COLTON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

NOT RENEWED

Business

First Name

JAN C

Last Name

COLTON

Suffix

DMD

Business Name

JAN C COLTON DMD

Original Issue Date

05/26/1989

Effective Date

05/26/1989

Expiration Date

09/30/1996

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005