ETHAN MCCREERY DUEWER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

ACTIVE

Business

Title

DMD

First Name

ETHAN

Middle

MCCREERY

Last Name

DUEWER

Business Name

ETHAN MCCREERY DUEWER DMD

Original Issue Date

06/20/2017

Effective Date

08/26/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/26/2024