RICHARD R BOATMAN JR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

ACTIVE

Business

First Name

RICHARD

Middle

Last Name

BOATMAN

Suffix

Business Name

RICHARD R BOATMAN JR

Original Issue Date

12/21/1987

Effective Date

06/03/2024

Expiration Date

09/30/2027

City

TROY

State

Zip

62294

County

MADISON

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

06/03/2024