KONSTANTINO J MANTIS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000877

License Status

ACTIVE

Business

First Name

KONSTANTINO J

Last Name

MANTIS

Suffix

DDS

Business Name

KONSTANTINO J MANTIS DDS

Original Issue Date

09/25/2013

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

WILMETTE

State

Zip

60091

County

COOK

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

05/01/2024