DUSTIN JAY SIMPSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

ACTIVE

Business

First Name

DUSTIN

Middle

JAY

Last Name

SIMPSON

Suffix

DMD

Business Name

DUSTIN JAY SIMPSON DMD

Original Issue Date

08/21/2013

Effective Date

07/05/2024

Expiration Date

09/30/2027

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/05/2024