JOHN WILLIAM MACDONALD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

WILLIAM

Last Name

MACDONALD

Suffix

DDS

Business Name

JOHN WILLIAM MACDONALD DDS

Original Issue Date

07/14/2003

Effective Date

09/26/2012

Expiration Date

09/30/2015

City

O'FALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016