JOHN WILLIAM STANLEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

First Name

JOHN WILLIAM

Last Name

STANLEY

Suffix

DDS

Business Name

JOHN WILLIAM STANLEY DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1996

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005