RICHARD THOMAS MCDANIEL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

First Name

RICHARD THOMAS

Last Name

MCDANIEL

Suffix

DDS

Business Name

RICHARD THOMAS MCDANIEL DDS

Original Issue Date

01/01/1998

Effective Date

02/03/2016

Expiration Date

09/30/2018

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018