MATTHEW BRIAN HALLAS DMD - Dentist License in Wisconsin | # 31*****60

MATTHEW BRIAN HALLAS DMD

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

ACTIVE

Business

N

First Name

MATTHEW

Middle

BRIAN

Last Name

HALLAS

Suffix

DMD

Business Name

MATTHEW BRIAN HALLAS DMD

Original Issue Date

08/10/2009

Effective Date

09/03/2024

Expiration Date

09/30/2027

State

WI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

N

LastModifiedDate

09/03/2024