CHARLES STONE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

ACTIVE

Business

First Name

CHARLES

Last Name

STONE

Business Name

CHARLES STONE

Original Issue Date

09/05/1986

Effective Date

05/20/2024

Expiration Date

09/30/2027

City

DECATUR

State

Zip

62522

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2024