ROY GLENN NORTHCUTT DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

NOT RENEWED

Business

First Name

ROY GLENN

Last Name

NORTHCUTT

Suffix

DMD

Business Name

ROY GLENN NORTHCUTT DMD

Original Issue Date

02/26/1997

Effective Date

10/08/2021

Expiration Date

09/30/2024

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025