TYMAN PASSEY LOVELESS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

Title

DMD

First Name

TYMAN

Middle

PASSEY

Last Name

LOVELESS

Business Name

TYMAN PASSEY LOVELESS DMD

Original Issue Date

03/15/2017

Effective Date

03/15/2017

Expiration Date

09/30/2018

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/31/2018