TRACY DIRK SAPP DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

ACTIVE

Business

Title

DDS

First Name

TRACY

Middle

DIRK

Last Name

SAPP

Business Name

TRACY DIRK SAPP DDS

Original Issue Date

06/03/2022

Effective Date

09/16/2024

Expiration Date

09/30/2027

City

MOORESVILLE

State

Zip

46158

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/16/2024