JOHN CARL FLEMING Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

First Name

JOHN CARL

Last Name

FLEMING

Business Name

JOHN CARL FLEMING

Original Issue Date

11/05/1982

Effective Date

11/05/1982

Expiration Date

09/30/1986

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005