MATTHEW JAMES MCSHANE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

ACTIVE

Business

Title

DMD

First Name

MATTHEW

Middle

JAMES

Last Name

MCSHANE

Business Name

MATTHEW JAMES MCSHANE DMD

Original Issue Date

06/02/2017

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60642

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2024