WILLIAM CLAYTON KRUZAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

First Name

WILLIAM CLAYTON

Last Name

KRUZAN

Suffix

DDS

Business Name

WILLIAM CLAYTON KRUZAN DDS

Original Issue Date

08/31/1990

Effective Date

06/22/2012

Expiration Date

09/30/2015

City

DEKALB

State

Zip

60115

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016