LISA MARIE CHERRY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****73

License Status

NOT RENEWED

Business

Title

DDS

First Name

LISA

Middle

MARIE

Last Name

CHERRY

Business Name

LISA MARIE CHERRY DDS

Original Issue Date

06/26/2000

Effective Date

06/26/2000

Expiration Date

09/30/2004

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005