JAMES RANDOL STOVALL DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

ACTIVE

Business

First Name

JAMES

Middle

RANDOL

Last Name

STOVALL

Suffix

DDS

Business Name

JAMES RANDOL STOVALL DDS

Original Issue Date

08/25/2003

Effective Date

09/12/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/12/2024