CHARLES G DAVIS JR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

ACTIVE

Business

First Name

CHARLES G

Last Name

DAVIS JR

Business Name

CHARLES G DAVIS JR

Original Issue Date

09/08/1987

Effective Date

09/15/2024

Expiration Date

09/30/2027

City

GLEN CARBON

State

Zip

62034

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/15/2024