EVA J MANDES DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

EVA

Middle

Last Name

MANDES

Suffix

DMD

Business Name

EVA J MANDES DMD

Original Issue Date

11/05/2007

Effective Date

11/05/2007

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60632

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009