JONATHAN E TARLETON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

NOT RENEWED

Business

Title

DDS

First Name

JONATHAN

Middle

Last Name

TARLETON

Business Name

JONATHAN E TARLETON DDS

Original Issue Date

08/30/2011

Effective Date

08/30/2011

Expiration Date

09/30/2012

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012