RICHARD DEAN DAVIDSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

ACTIVE

Business

First Name

RICHARD DEAN

Last Name

DAVIDSON

Suffix

DMD

Business Name

RICHARD DEAN DAVIDSON DMD

Original Issue Date

01/01/1998

Effective Date

06/18/2024

Expiration Date

09/30/2027

City

TUSCOLA

State

Zip

61953

County

DOUGLAS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/18/2024