CENDIE R CRAWLEY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

NOT RENEWED

Business

First Name

CENDIE R

Last Name

CRAWLEY

Suffix

DMD

Business Name

CENDIE R CRAWLEY DMD

Original Issue Date

12/08/2009

Effective Date

12/08/2009

Expiration Date

09/30/2012

City

DEMOREST

State

Zip

30536

County

GEORGIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012