RILEY JACKSON MCCULLEY DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009660

License Status

INACTIVE

Business

First Name

RILEY JACKSON

Last Name

MCCULLEY

Suffix

DDS

Business Name

RILEY JACKSON MCCULLEY DDS

Original Issue Date

08/14/1950

Effective Date

08/14/1950

Expiration Date

09/30/1994

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/12/2005