CRYSTAL A SIMPSON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

NOT RENEWED

Business

Title

DMD

First Name

CRYSTAL

Middle

Last Name

SIMPSON

Business Name

CRYSTAL A SIMPSON DMD

Original Issue Date

07/16/2015

Effective Date

09/05/2018

Expiration Date

01/31/2022

City

ALEDO

State

Zip

61231

County

MERCER

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/12/2024