LINDSEY R DOUGLAS DMD Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000521

License Status

INOPERATIVE

Business

First Name

LINDSEY

Middle

Last Name

DOUGLAS

Suffix

DMD

Business Name

LINDSEY R DOUGLAS DMD

Original Issue Date

03/27/2001

Effective Date

03/27/2001

Expiration Date

09/30/2002

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

10/17/2005