RICHARD R BOATMAN JR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000783

License Status

ACTIVE

Business

First Name

RICHARD

Middle

Last Name

BOATMAN

Suffix

Business Name

RICHARD R BOATMAN JR

Original Issue Date

06/07/2010

Effective Date

06/03/2024

Expiration Date

09/30/2027

City

TROY

State

Zip

62294

County

MADISON

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

06/03/2024