LUKE WILLIAM REVELT DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032795

License Status

ACTIVE

Business

Title

DMD

First Name

LUKE

Middle

WILLIAM

Last Name

REVELT

Business Name

LUKE WILLIAM REVELT DMD

Original Issue Date

07/13/2020

Effective Date

09/22/2024

Expiration Date

09/30/2027

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

09/22/2024