MATTHEW JAMES GOTTA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

ACTIVE

Business

Title

DMD

First Name

MATTHEW

Middle

JAMES

Last Name

GOTTA

Business Name

MATTHEW JAMES GOTTA DMD

Original Issue Date

07/15/2020

Effective Date

05/08/2024

Expiration Date

09/30/2027

City

HAWTHORN WOODS

State

Zip

60047

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/08/2024