CHARLES FREDERICK CUNNINGHAM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

FREDERICK

Last Name

CUNNINGHAM

Suffix

DDS

Business Name

CHARLES FREDERICK CUNNINGHAM DDS

Original Issue Date

01/01/1998

Effective Date

08/17/2015

Expiration Date

09/30/2018

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018