REBECCA LEE COALSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

ACTIVE

Business

First Name

REBECCA

Middle

LEE

Last Name

COALSON

Suffix

DMD

Business Name

REBECCA LEE COALSON DMD

Original Issue Date

07/20/2005

Effective Date

08/07/2024

Expiration Date

09/30/2027

City

EAST ALTON

State

Zip

62024

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/07/2024