DAVID SCOTT FELDHAUS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

ACTIVE

Business

Title

DMD

First Name

DAVID

Middle

SCOTT

Last Name

FELDHAUS

Business Name

DAVID SCOTT FELDHAUS DMD

Original Issue Date

08/05/2022

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/27/2024