JONATHAN MARK DINGELDEIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

NOT RENEWED

Business

Title

DDS

First Name

JONATHAN

Middle

MARK

Last Name

DINGELDEIN

Business Name

JONATHAN MARK DINGELDEIN DDS

Original Issue Date

07/03/2012

Effective Date

07/03/2012

Expiration Date

09/30/2015

City

OQUAWKA

State

Zip

61469

County

HENDERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016