DAVID SCOTT DUNIVAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

SCOTT

Last Name

DUNIVAN

Suffix

DMD

Business Name

DAVID SCOTT DUNIVAN DMD

Original Issue Date

01/04/2022

Effective Date

01/04/2022

Expiration Date

09/30/2024

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025