RANDALL DEAN FLOYD DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

Title

DMD

First Name

RANDALL

Middle

DEAN

Last Name

FLOYD

Business Name

RANDALL DEAN FLOYD DMD

Original Issue Date

01/01/1998

Effective Date

09/25/2021

Expiration Date

09/30/2024

City

PANA

State

Zip

62557

County

CHRISTIAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025