WILLIS A MCCRACKEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

Business

First Name

WILLIS A

Last Name

MCCRACKEN

Business Name

WILLIS A MCCRACKEN

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005