JUANITA R OKEMWA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

NOT RENEWED

Business

First Name

JUANITA

Middle

Last Name

OKEMWA

Suffix

DMD

Business Name

JUANITA R OKEMWA DMD

Original Issue Date

07/15/2003

Effective Date

07/15/2003

Expiration Date

09/30/2004

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005