TINA SUE LUCAS STONER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

ACTIVE

Business

Title

DMD

First Name

TINA

Middle

SUE

Last Name

LUCAS STONER

Business Name

TINA SUE LUCAS STONER DMD

Original Issue Date

09/16/2009

Effective Date

06/10/2024

Expiration Date

09/30/2027

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2024