MICHAEL WESLEY NEAL DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

ACTIVE

Business

Title

DMD

First Name

MICHAEL

Middle

WESLEY

Last Name

NEAL

Business Name

MICHAEL WESLEY NEAL DMD

Original Issue Date

06/10/2015

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024