CHAUNCEY L CONNER DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

CANCELLED

Business

First Name

CHAUNCEY L

Last Name

CONNER

Suffix

DDS

Business Name

CHAUNCEY L CONNER DDS

Original Issue Date

11/17/1993

Effective Date

11/17/1993

Expiration Date

09/30/2002

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005