ALEXANDER SCOTT BEAVERS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

ACTIVE

Business

Title

DMD

First Name

ALEXANDER

Middle

SCOTT

Last Name

BEAVERS

Business Name

ALEXANDER SCOTT BEAVERS DMD

Original Issue Date

10/14/2015

Effective Date

09/19/2024

Expiration Date

09/30/2027

City

CARROLLTON

State

Zip

62016

County

GREENE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/19/2024