JUNE E UPSHAW LALLAS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

ACTIVE

Business

First Name

JUNE

Middle

E UPSHAW

Last Name

LALLAS

Suffix

DDS

Business Name

JUNE E UPSHAW LALLAS DDS

Original Issue Date

06/27/1995

Effective Date

08/22/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

08/22/2024