JANISE THERESA DENTON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

JANISE

Middle

THERESA

Last Name

DENTON

Suffix

Business Name

JANISE THERESA DENTON DO

Original Issue Date

06/18/2008

Effective Date

05/19/2014

Expiration Date

07/31/2017

City

QUINCY

State

Zip

62305

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017