JUSTIN MATTHEW FELIX Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002159

License Status

EXPIRED

Business

First Name

JUSTIN

Middle

MATTHEW

Last Name

FELIX

Business Name

JUSTIN MATTHEW FELIX

Original Issue Date

06/25/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

11/28/2022