AARON D DEFOREST DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

ACTIVE

Business

Title

DDS

First Name

AARON

Middle

Last Name

DEFOREST

Business Name

AARON D DEFOREST DDS

Original Issue Date

02/21/2025

Effective Date

02/21/2025

Expiration Date

09/30/2027

City

GRANITE CITY

State

Zip

62040

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/21/2025