J B WHITTEN JR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

NOT RENEWED

Business

First Name

J B

Last Name

WHITTEN JR

Business Name

J B WHITTEN JR

Original Issue Date

12/18/1992

Effective Date

12/18/1992

Expiration Date

09/30/1996

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005