DANA CARLTON GRAY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

ACTIVE

Business

First Name

DANA CARLTON

Last Name

GRAY

Business Name

DANA CARLTON GRAY

Original Issue Date

07/30/1985

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2024