ROBERT LESLIE MATIAS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

NOT RENEWED

Business

First Name

ROBERT LESLIE

Last Name

MATIAS

Business Name

ROBERT LESLIE MATIAS

Original Issue Date

09/13/1982

Effective Date

09/11/2021

Expiration Date

09/30/2024

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025