MICHAEL TODD MASSIE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

TODD

Last Name

MASSIE

Suffix

DMD

Business Name

MICHAEL TODD MASSIE DMD

Original Issue Date

11/09/1998

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

TROY

State

Zip

62294

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024