RANDOLPH LEE VANALSTINE DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

INACTIVE

Business

First Name

RANDOLPH LEE

Last Name

VANALSTINE

Suffix

DDS

Business Name

RANDOLPH LEE VANALSTINE DDS

Original Issue Date

01/01/1998

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

DECATUR

State

Zip

62522

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2009