JAMES ROBERT MITSOS DMD - Dentist License in Illinois | # 137001095

JAMES ROBERT MITSOS DMD

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001095

License Status

ACTIVE

Business

N

Title

DMD

First Name

JAMES

Middle

ROBERT

Last Name

MITSOS

Business Name

JAMES ROBERT MITSOS DMD

Original Issue Date

02/09/2022

Effective Date

05/04/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

N

LastModifiedDate

05/04/2024