LANCE KNIGHT SKINKYS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

ACTIVE

Business

First Name

LANCE

Middle

KNIGHT

Last Name

SKINKYS

Business Name

LANCE KNIGHT SKINKYS

Original Issue Date

05/12/2010

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

PLAINFIELD

State

Zip

60544

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/04/2024