KENT DAVID MCCONNELL DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

ACTIVE

Business

First Name

KENT DAVID

Last Name

MCCONNELL

Suffix

DMD

Business Name

KENT DAVID MCCONNELL DMD

Original Issue Date

07/11/1995

Effective Date

09/15/2024

Expiration Date

09/30/2027

City

NEW ATHENS

State

Zip

62264

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/15/2024