KRAIG D OSBORNE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

ACTIVE

Business

First Name

KRAIG

Middle

Last Name

OSBORNE

Suffix

DMD

Business Name

KRAIG D OSBORNE DMD

Original Issue Date

09/15/1987

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024