SETH THOMAS DANIELS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

ACTIVE

Business

Title

DMD

First Name

SETH

Middle

THOMAS

Last Name

DANIELS

Business Name

SETH THOMAS DANIELS DMD

Original Issue Date

06/25/2020

Effective Date

08/26/2024

Expiration Date

09/30/2027

City

GENESEO

State

Zip

61254

County

HENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/26/2024