CHRISTOPHER RUSSELL LEE WEBB DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

Title

DMD

First Name

CHRISTOPHER

Middle

RUSSELL LEE

Last Name

WEBB

Business Name

CHRISTOPHER RUSSELL LEE WEBB DMD

Original Issue Date

06/26/2013

Effective Date

06/26/2013

Expiration Date

09/30/2015

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

02/08/2016