LISA A CAGLE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

CAGLE

Suffix

DMD

Business Name

LISA A CAGLE DMD

Original Issue Date

01/01/1998

Effective Date

07/26/2024

Expiration Date

09/30/2027

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2024