JUSTIN AULT DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033188

License Status

ACTIVE

Business

Title

DMD

First Name

JUSTIN

Last Name

AULT

Business Name

JUSTIN AULT DMD

Original Issue Date

06/11/2021

Effective Date

07/10/2024

Expiration Date

09/30/2027

City

TOLONO

State

Zip

61880

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/10/2024