CRAIG SHAWN LAMBOURNE DDS 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

DDS

First Name

CRAIG

Middle

SHAWN

Last Name

LAMBOURNE

Business Name

CRAIG SHAWN LAMBOURNE DDS

Original Issue Date

04/20/2016

Effective Date

08/27/2018

Expiration Date

01/31/2022

City

EAST PEORIA

State

Zip

61611

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022