MATTHEW GEORGE MANIOUS DMD - Dentist License in Illinois | # 137000995

MATTHEW GEORGE MANIOUS DMD

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000995

License Status

ACTIVE

Business

N

Title

DMD

First Name

MATTHEW

Middle

GEORGE

Last Name

MANIOUS

Business Name

MATTHEW GEORGE MANIOUS DMD

Original Issue Date

12/11/2017

Effective Date

05/02/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

N

LastModifiedDate

05/02/2024