STEVEN LEE CRAIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

LEE

Last Name

CRAIN

Suffix

DDS

Business Name

STEVEN LEE CRAIN DDS

Original Issue Date

01/01/1998

Effective Date

08/05/2015

Expiration Date

09/30/2018

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018