SCOTT M BOYDEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000848

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

BOYDEN

Business Name

SCOTT M BOYDEN

Original Issue Date

06/26/1995

Effective Date

06/26/1995

Expiration Date

06/30/1999

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005