MICHAEL JAMES TADIN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000765

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

JAMES

Last Name

TADIN

Suffix

DDS

Business Name

MICHAEL JAMES TADIN DDS

Original Issue Date

09/04/2009

Effective Date

07/31/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

07/31/2024