EDWIN GONZALEZ MONTOYA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

ACTIVE

Business

Title

DDS

First Name

EDWIN

Last Name

GONZALEZ MONTOYA

Business Name

EDWIN GONZALEZ MONTOYA DDS

Original Issue Date

10/26/2017

Effective Date

08/26/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/26/2024