LUKE WILLIAM REVELT DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021003288

License Status

ACTIVE

Business

Title

DMD

First Name

LUKE

Middle

WILLIAM

Last Name

REVELT

Business Name

LUKE WILLIAM REVELT DMD

Original Issue Date

09/07/2023

Effective Date

09/22/2024

Expiration Date

09/30/2027

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

ENDODONTICS

Ever Disciplined

LastModifiedDate

09/22/2024