LANCE PARRISH MARTIN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

ACTIVE

Business

First Name

LANCE

Middle

PARRISH

Last Name

MARTIN

Suffix

DMD

Business Name

LANCE PARRISH MARTIN DMD

Original Issue Date

04/25/2000

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/11/2024