MASON DEAN PLOTNER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002272

License Status

ACTIVE

Business

Title

DMD

First Name

MASON

Middle

DEAN

Last Name

PLOTNER

Business Name

MASON DEAN PLOTNER DMD

Original Issue Date

06/06/2024

Effective Date

06/04/2025

Expiration Date

06/30/2028

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

06/04/2025