RANDALL JAMES CRAMMOND DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

INACTIVE

Business

First Name

RANDALL JAMES

Last Name

CRAMMOND

Suffix

DMD

Business Name

RANDALL JAMES CRAMMOND DMD

Original Issue Date

07/15/1993

Effective Date

06/17/2015

Expiration Date

09/30/2018

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018