JAMES EDSON NATIVI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

ACTIVE

Business

First Name

JAMES EDSON

Last Name

NATIVI

Business Name

JAMES EDSON NATIVI

Original Issue Date

08/17/1982

Effective Date

05/22/2024

Expiration Date

09/30/2027

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/22/2024