ROBERT SHANNON STOUGHTON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

NOT RENEWED

Business

First Name

ROBERT SHANNON

Last Name

STOUGHTON

Suffix

DMD

Business Name

ROBERT SHANNON STOUGHTON DMD

Original Issue Date

01/01/1998

Expiration Date

01/01/1998

City

COLUMBIA

State

Zip

62236

County

MONROE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005