JOHN ZACHARY MIDDLETON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

ACTIVE

Business

Title

DMD

First Name

JOHN

Middle

ZACHARY

Last Name

MIDDLETON

Business Name

JOHN ZACHARY MIDDLETON DMD

Original Issue Date

04/20/2015

Effective Date

09/19/2024

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

09/19/2024