SIMONE ELISE FAVOR DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

ACTIVE

Business

Title

DDS

First Name

SIMONE

Middle

ELISE

Last Name

FAVOR

Business Name

SIMONE ELISE FAVOR DDS

Original Issue Date

06/30/2021

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/24/2024