LEAH BETH DAVIS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000986

License Status

ACTIVE

Business

Title

DMD

First Name

LEAH

Middle

BETH

Last Name

DAVIS

Business Name

LEAH BETH DAVIS DMD

Original Issue Date

09/28/2017

Effective Date

06/21/2024

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

06/21/2024