DAVID STUART DURBIN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

ACTIVE

Business

First Name

DAVID STUART

Last Name

DURBIN

Business Name

DAVID STUART DURBIN

Original Issue Date

10/10/1983

Effective Date

05/07/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2024