CARL T DRAKE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

ACTIVE

Business

First Name

CARL

Middle

Last Name

DRAKE

Suffix

DDS

Business Name

CARL T DRAKE DDS

Original Issue Date

06/30/2010

Effective Date

08/24/2024

Expiration Date

09/30/2027

City

NORMAL

State

Zip

61761

County

MCLEAN

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

08/24/2024