KURT DICK JAMES Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

ACTIVE

Business

First Name

KURT

Middle

DICK

Last Name

JAMES

Business Name

KURT DICK JAMES

Original Issue Date

09/24/2001

Effective Date

08/27/2024

Expiration Date

09/30/2027

City

TROY

State

Zip

62294

County

MADISON

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

08/27/2024