SCOTT CHRISTOPHER SUNTRUP DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

ACTIVE

Business

First Name

SCOTT

Middle

CHRISTOPHER

Last Name

SUNTRUP

Suffix

DMD

Business Name

SCOTT CHRISTOPHER SUNTRUP DMD

Original Issue Date

04/09/2007

Effective Date

08/26/2024

Expiration Date

09/30/2027

City

FLORA

State

Zip

62839

County

CLAY

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/26/2024