RANDALL JAMES CRAMMOND DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000166

License Status

INACTIVE

Business

First Name

RANDALL JAMES

Last Name

CRAMMOND

Suffix

DMD

Business Name

RANDALL JAMES CRAMMOND DMD

Original Issue Date

01/01/1998

Effective Date

06/17/2015

Expiration Date

09/30/2018

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

06/07/2018