CHERYL LEE WILLETT DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

CANCELLED

Business

First Name

CHERYL

Middle

LEE

Last Name

WILLETT

Suffix

DDS

Business Name

CHERYL LEE WILLETT DDS

Original Issue Date

07/16/1999

Effective Date

07/16/1999

Expiration Date

09/30/2002

City

SANTA ROSA

State

Zip

95404

County

CALIFORNIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005