DANIEL LEE MASSIE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

ACTIVE

Business

First Name

DANIEL

Middle

LEE

Last Name

MASSIE

Suffix

DMD

Business Name

DANIEL LEE MASSIE DMD

Original Issue Date

04/05/2001

Effective Date

08/06/2024

Expiration Date

09/30/2027

City

CARBONDALE

State

Zip

62902

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/06/2024