MICHAEL Y MATSUMOTO DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

ACTIVE

Business

First Name

MICHAEL Y

Last Name

MATSUMOTO

Suffix

DDS

Business Name

MICHAEL Y MATSUMOTO DDS

Original Issue Date

06/27/1995

Effective Date

08/04/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/04/2024