RONNIE DEAN MCCUAN 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

RONNIE DEAN

Last Name

MCCUAN

Business Name

RONNIE DEAN MCCUAN

Original Issue Date

08/31/1982

Effective Date

08/31/1982

Expiration Date

09/30/1988

City

GOLCONDA

State

Zip

62938

County

POPE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005