MATTHEW THOMAS RAPER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000161

License Status

NOT RENEWED

Business

Title

DDS

First Name

MATTHEW

Middle

THOMAS

Last Name

RAPER

Business Name

MATTHEW THOMAS RAPER DDS

Original Issue Date

10/19/2010

Effective Date

07/01/2013

Expiration Date

06/30/2015

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

01/07/2016