JON WILLIAM ELLIOTT OWEN 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

JON

Middle

WILLIAM ELLIOTT

Last Name

OWEN

Business Name

JON WILLIAM ELLIOTT OWEN

Original Issue Date

10/12/2021

Effective Date

10/12/2021

Expiration Date

09/30/2024

City

TROY

State

Zip

62294

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025