JAMES RANDOL STOVALL DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026159

License Status

ACTIVE

Business

First Name

JAMES

Middle

RANDOL

Last Name

STOVALL

Suffix

DDS

Business Name

JAMES RANDOL STOVALL DDS

Original Issue Date

06/19/2003

Effective Date

09/12/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/12/2024