JAMES A REA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

ACTIVE

Business

First Name

JAMES A

Last Name

REA

Suffix

DMD

Business Name

JAMES A REA DMD

Original Issue Date

09/10/1991

Effective Date

07/30/2024

Expiration Date

09/30/2027

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/30/2024