DONALD CHARLES SUMMERLIN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

ACTIVE

Business

First Name

DONALD

Middle

CHARLES

Last Name

SUMMERLIN

Suffix

DDS

Business Name

DONALD CHARLES SUMMERLIN DDS

Original Issue Date

04/04/2005

Effective Date

07/23/2024

Expiration Date

09/30/2027

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/23/2024