ROBERT DUANE DOUGLAS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002025

License Status

ACTIVE

Business

First Name

ROBERT

Middle

DUANE

Last Name

DOUGLAS

Suffix

DMD

Business Name

ROBERT DUANE DOUGLAS DMD

Original Issue Date

05/20/2002

Effective Date

07/18/2024

Expiration Date

09/30/2027

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

Prosthodontics

Ever Disciplined

LastModifiedDate

07/18/2024