MATTHEW JAMES MCCULLOUGH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

ACTIVE

Business

First Name

MATTHEW

Middle

JAMES

Last Name

MCCULLOUGH

Suffix

DMD

Business Name

MATTHEW JAMES MCCULLOUGH DMD

Original Issue Date

06/27/2000

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

GREENVILLE

State

Zip

62246

County

BOND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2024