MONTE A REEVIS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

ACTIVE

Business

First Name

MONTE A

Last Name

REEVIS

Business Name

MONTE A REEVIS

Original Issue Date

06/10/1987

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2024