WILLIAM J STAPLETON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

Last Name

STAPLETON

Suffix

DDS

Business Name

WILLIAM J STAPLETON DDS

Original Issue Date

01/01/1998

Effective Date

09/04/2015

Expiration Date

09/30/2018

City

WOOD RIVER

State

Zip

62095

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018