DUANE A DAVIS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

ACTIVE

Business

First Name

DUANE A

Last Name

DAVIS

Suffix

DMD

Business Name

DUANE A DAVIS DMD

Original Issue Date

02/01/1991

Effective Date

06/25/2024

Expiration Date

09/30/2027

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/25/2024