MATTHEW SCOTT ANDERSON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

ACTIVE

Business

Title

DMD

First Name

MATTHEW

Middle

SCOTT

Last Name

ANDERSON

Business Name

MATTHEW SCOTT ANDERSON DMD

Original Issue Date

06/14/2016

Effective Date

07/19/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2024