SEVERIN LYDELL MCCOY DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033960

License Status

ACTIVE

Business

Title

DDS

First Name

SEVERIN

Middle

LYDELL

Last Name

MCCOY

Business Name

SEVERIN LYDELL MCCOY DDS

Original Issue Date

09/21/2022

Effective Date

09/29/2024

Expiration Date

09/30/2027

City

FLORISSANT

State

Zip

63034

Ever Disciplined

LastModifiedDate

09/29/2024