RANDY CURTIS KNEEZEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

NOT RENEWED

Business

First Name

RANDY CURTIS

Last Name

KNEEZEL

Business Name

RANDY CURTIS KNEEZEL

Original Issue Date

06/20/1989

Effective Date

06/14/2018

Expiration Date

01/31/2022

City

DECATUR

State

Zip

62522

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022