PAUL R MACO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

ACTIVE

Business

First Name

PAUL R

Last Name

MACO

Business Name

PAUL R MACO

Original Issue Date

12/01/1988

Effective Date

08/17/2024

Expiration Date

09/30/2027

City

BLYTHEWOOD

State

Zip

29016

County

SOUTH CAROLINA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/17/2024