SCOTT EVAN PROSE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

ACTIVE

Business

First Name

SCOTT

Middle

EVAN

Last Name

PROSE

Suffix

DDS

Business Name

SCOTT EVAN PROSE DDS

Original Issue Date

01/03/1989

Effective Date

08/16/2024

Expiration Date

09/30/2027

City

ST CHARLES

State

Zip

60174

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/16/2024