CHAUNCEY CROSS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011062

License Status

NOT RENEWED

Business

First Name

CHAUNCEY

Last Name

CROSS

Business Name

CHAUNCEY CROSS

Original Issue Date

08/20/1957

Effective Date

09/03/2015

Expiration Date

09/30/2018

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/31/2018