SCOTT WILLIAM TODD DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

ACTIVE

Business

Title

DMD

First Name

SCOTT

Middle

WILLIAM

Last Name

TODD

Business Name

SCOTT WILLIAM TODD DMD

Original Issue Date

08/29/2019

Effective Date

09/16/2024

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/16/2024