ALEX MCCOY DANIEL DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

ACTIVE

Business

Title

DMD

First Name

ALEX

Middle

MCCOY

Last Name

DANIEL

Business Name

ALEX MCCOY DANIEL DMD

Original Issue Date

09/09/2019

Effective Date

07/17/2024

Expiration Date

09/30/2027

City

SUGAR GROVE

State

Zip

60554

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2024