STANLEY LEE CROSS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

NOT RENEWED

Business

First Name

STANLEY LEE

Last Name

CROSS

Suffix

DDS

Business Name

STANLEY LEE CROSS DDS

Original Issue Date

01/01/1998

Effective Date

06/22/2015

Expiration Date

09/30/2018

City

TUSCOLA

State

Zip

61953

County

DOUGLAS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018