JEFFREY BASSMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

NOT RENEWED

Business

Title

DDS

First Name

JEFFREY

Last Name

BASSMAN

Business Name

JEFFREY BASSMAN DDS

Original Issue Date

08/03/2015

Effective Date

08/09/2018

Expiration Date

01/31/2022

City

DAVENPORT

State

Zip

52804

County

SCOTT

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022