MATTHEW CORBIN PROCTOR DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

ACTIVE

Business

Title

DDS

First Name

MATTHEW

Middle

CORBIN

Last Name

PROCTOR

Business Name

MATTHEW CORBIN PROCTOR DDS

Original Issue Date

10/05/2020

Effective Date

09/05/2024

Expiration Date

09/30/2027

City

SPRINGVILLE

State

Zip

84663

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/05/2024