JON WILLIAM ELLIOTT OWEN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

ACTIVE

Business

First Name

JON

Middle

WILLIAM ELLIOTT

Last Name

OWEN

Business Name

JON WILLIAM ELLIOTT OWEN

Original Issue Date

06/06/2016

Effective Date

08/30/2024

Expiration Date

09/30/2027

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/30/2024