JACQUELINE JEAN CRESSWELL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

NOT RENEWED

Business

First Name

JACQUELINE JEAN

Last Name

CRESSWELL

Suffix

DDS

Business Name

JACQUELINE JEAN CRESSWELL DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

GRIDLEY

State

Zip

61744

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005