JOHN EDWARD WHITE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

NOT RENEWED

Business

Title

DDS

First Name

JOHN

Middle

EDWARD

Last Name

WHITE

Business Name

JOHN EDWARD WHITE DDS

Original Issue Date

01/01/1998

Effective Date

08/23/2018

Expiration Date

01/31/2022

City

COLUMBIA

State

Zip

62236

County

MONROE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022