VINCENT MICHAEL ISRAEL DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

ACTIVE

Business

Title

DMD

First Name

VINCENT

Middle

MICHAEL

Last Name

ISRAEL

Business Name

VINCENT MICHAEL ISRAEL DMD

Original Issue Date

05/21/2021

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/13/2024