JENNIFER LOUISE CARVER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LOUISE

Last Name

CARVER

Business Name

JENNIFER LOUISE CARVER

Original Issue Date

09/14/2017

Effective Date

08/08/2018

Expiration Date

01/31/2022

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022