MICHAEL TED MASSEY DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

ACTIVE

Business

First Name

MICHAEL TED

Last Name

MASSEY

Suffix

DDS

Business Name

MICHAEL TED MASSEY DDS

Original Issue Date

08/10/1994

Effective Date

08/03/2024

Expiration Date

09/30/2027

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/03/2024