JON EDWARD DENNIS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063606

License Status

INACTIVE

Business

First Name

JON EDWARD

Last Name

DENNIS

Suffix

Business Name

JON EDWARD DENNIS MD

Original Issue Date

12/03/1981

Effective Date

12/03/1981

Expiration Date

07/31/1987

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

09/20/2006