MEGHAN GRACE CRISHAM DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

ACTIVE

Business

First Name

MEGHAN

Middle

GRACE

Last Name

CRISHAM

Suffix

DDS

Business Name

MEGHAN GRACE CRISHAM DDS

Original Issue Date

08/28/2017

Effective Date

05/29/2024

Expiration Date

09/30/2027

City

DIXON

State

Zip

61021

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/29/2024