ROY GLENN NORTHCUTT DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024391

License Status

NOT RENEWED

Business

First Name

ROY GLENN

Last Name

NORTHCUTT

Suffix

DMD

Business Name

ROY GLENN NORTHCUTT DMD

Original Issue Date

02/10/1997

Effective Date

10/08/2021

Expiration Date

09/30/2024

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

02/04/2025