R SCOTT BEAVERS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****73

License Status

NOT RENEWED

Business

First Name

R SCOTT

Last Name

BEAVERS

Suffix

DDS

Business Name

R SCOTT BEAVERS DDS

Original Issue Date

01/01/1998

Effective Date

11/24/2021

Expiration Date

09/30/2024

City

CARROLLTON

State

Zip

62016

County

GREENE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025