RANDALL C DUNCAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

NOT RENEWED

Business

First Name

RANDALL

Middle

Last Name

DUNCAN

Suffix

DDS

Business Name

RANDALL C DUNCAN DDS

Original Issue Date

05/20/2013

Effective Date

12/02/2021

Expiration Date

09/30/2024

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025