MITCHELL RYAN MASCARO DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002079

License Status

EXPIRED

Business

Title

DDS

First Name

MITCHELL

Middle

RYAN

Last Name

MASCARO

Business Name

MITCHELL RYAN MASCARO DDS

Original Issue Date

06/28/2018

Effective Date

07/01/2019

Expiration Date

06/30/2023

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

01/08/2025