JOHN B CRISHAM DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

ACTIVE

Business

First Name

JOHN B

Last Name

CRISHAM

Suffix

DMD

Business Name

JOHN B CRISHAM DMD

Original Issue Date

06/14/1990

Effective Date

06/01/2024

Expiration Date

09/30/2027

City

OREGON

State

Zip

61061

County

OGLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2024