EDDY ROMERO MATOS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

ACTIVE

Business

Title

DMD

First Name

EDDY

Last Name

ROMERO MATOS

Business Name

EDDY ROMERO MATOS DMD

Original Issue Date

08/15/2018

Effective Date

08/16/2024

Expiration Date

09/30/2027

City

BONITA SPRINGS

State

Zip

34134

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/16/2024