DONALD CHARLES MATTISON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

NOT RENEWED

Business

First Name

DONALD CHARLES

Last Name

MATTISON

Business Name

DONALD CHARLES MATTISON

Original Issue Date

01/01/1998

Expiration Date

09/30/1994

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005