CLAYTON DANFORD RANGITSCH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

NOT RENEWED

Business

First Name

CLAYTON

Middle

DANFORD

Last Name

RANGITSCH

Suffix

DMD

Business Name

CLAYTON DANFORD RANGITSCH DMD

Original Issue Date

06/29/2010

Effective Date

08/28/2012

Expiration Date

09/30/2015

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

02/08/2016