SEVERIN LYDELL MCCOY DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

ACTIVE

Business

Title

DDS

First Name

SEVERIN

Middle

LYDELL

Last Name

MCCOY

Business Name

SEVERIN LYDELL MCCOY DDS

Original Issue Date

11/15/2022

Effective Date

09/29/2024

Expiration Date

09/30/2027

City

FLORISSANT

State

Zip

63034

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/29/2024