MELISSA A BURNETT Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

ACTIVE

Business

First Name

MELISSA

Middle

Last Name

BURNETT

Business Name

MELISSA A BURNETT

Original Issue Date

06/12/2008

Effective Date

07/03/2024

Expiration Date

09/30/2027

City

DECATUR

State

Zip

62521

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/03/2024