JEANINE M FELL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

NOT RENEWED

Business

First Name

JEANINE

Middle

Last Name

FELL

Business Name

JEANINE M FELL

Original Issue Date

10/21/1986

Effective Date

08/30/2018

Expiration Date

01/31/2022

City

NEWTON

State

Zip

62448

County

JASPER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022