JONATHAN S BAILEY DMD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

First Name

JONATHAN

Middle

Last Name

BAILEY

Suffix

DMD

Business Name

JONATHAN S BAILEY DMD

Original Issue Date

07/05/2001

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023