DOUGLAS A TEEL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

ACTIVE

Business

First Name

DOUGLAS

Middle

Last Name

TEEL

Business Name

DOUGLAS A TEEL

Original Issue Date

08/07/2007

Effective Date

05/11/2024

Expiration Date

09/30/2027

City

DU QUOIN

State

Zip

62832

County

PERRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/11/2024