JOHN ROBERT WARNER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

NOT RENEWED

Business

Title

DMD

First Name

JOHN

Middle

ROBERT

Last Name

WARNER

Business Name

JOHN ROBERT WARNER DMD

Original Issue Date

06/21/2013

Effective Date

06/21/2013

Expiration Date

09/30/2015

City

PORTLAND

State

Zip

97212

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016