SCOTT EVAN PROSE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001359

License Status

ACTIVE

Business

First Name

SCOTT

Middle

EVAN

Last Name

PROSE

Suffix

DDS

Business Name

SCOTT EVAN PROSE DDS

Original Issue Date

09/29/1987

Effective Date

08/16/2024

Expiration Date

09/30/2027

City

ST CHARLES

State

Zip

60174

County

KANE

Specialty/Qualifier

ORTHODONTICS

Ever Disciplined

LastModifiedDate

08/16/2024