SCOTT EVAN PROSE DDS - Dentist License in Illinois | # 019019741

SCOTT EVAN PROSE DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019741

License Status

ACTIVE

Business

N

First Name

SCOTT

Middle

EVAN

Last Name

PROSE

Suffix

DDS

Business Name

SCOTT EVAN PROSE DDS

Original Issue Date

08/07/1985

Effective Date

08/14/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

08/14/2024