DAVID SCOTT DUNIVAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002115

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

SCOTT

Last Name

DUNIVAN

Suffix

DMD

Business Name

DAVID SCOTT DUNIVAN DMD

Original Issue Date

09/16/2004

Effective Date

12/31/2021

Expiration Date

09/30/2024

City

GLEN CARBON

State

Zip

62034

County

MADISON

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

07/11/2025