LANDALL L CORMIER 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

LANDALL L

Last Name

CORMIER

Suffix

DDS

Business Name

LANDALL L CORMIER DDS

Original Issue Date

12/17/1992

Effective Date

12/17/1992

Expiration Date

09/30/2002

City

CANTON

State

Zip

61520

County

FULTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005