JON EDWARD DENNIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

JON EDWARD

Last Name

DENNIS

Suffix

Business Name

JON EDWARD DENNIS MD

Original Issue Date

08/30/1982

Effective Date

08/30/1982

Expiration Date

07/31/1987

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006