JON R GARDNER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

ACTIVE

Business

First Name

JON R

Last Name

GARDNER

Suffix

DMD

Business Name

JON R GARDNER DMD

Original Issue Date

09/29/1994

Effective Date

06/13/2024

Expiration Date

09/30/2027

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2024