DUSTIN JAY SIMPSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001037

License Status

ACTIVE

Business

First Name

DUSTIN

Middle

JAY

Last Name

SIMPSON

Suffix

DMD

Business Name

DUSTIN JAY SIMPSON DMD

Original Issue Date

10/09/2019

Effective Date

07/05/2024

Expiration Date

09/30/2027

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

07/05/2024