DAISY ELLEN CORNELL DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

ACTIVE

Business

Title

DMD

First Name

DAISY

Middle

ELLEN

Last Name

CORNELL

Business Name

DAISY ELLEN CORNELL DMD

Original Issue Date

06/28/2022

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

DALLAS

State

Zip

75201

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/16/2024