ANDREW JOHN MATHER DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001420

License Status

EXPIRED

Business

First Name

ANDREW

Middle

JOHN

Last Name

MATHER

Suffix

DDS

Business Name

ANDREW JOHN MATHER DDS

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005