WILLIAM CLAYTON KRUZAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

NOT RENEWED

Business

First Name

WILLIAM CLAYTON

Last Name

KRUZAN

Suffix

DDS

Business Name

WILLIAM CLAYTON KRUZAN DDS

Original Issue Date

04/23/1993

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

SANDWICH

State

Zip

60548

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009