TYLER DAVIS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000230

License Status

EXPIRED

Business

First Name

TYLER

Last Name

DAVIS

Business Name

TYLER DAVIS

Original Issue Date

06/12/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

11/28/2022