JAMIE DOMINIC NONNENMANN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

First Name

JAMIE DOMINIC

Last Name

NONNENMANN

Business Name

JAMIE DOMINIC NONNENMANN

Original Issue Date

01/01/1998

Effective Date

09/18/2018

Expiration Date

01/31/2022

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022