DONALD CHARLES MATTISON Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010604

License Status

INACTIVE

Business

First Name

DONALD CHARLES

Last Name

MATTISON

Business Name

DONALD CHARLES MATTISON

Original Issue Date

10/11/1954

Effective Date

10/11/1954

Expiration Date

09/30/1994

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/12/2005