MATTHEW C CARLSON DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

INACTIVE

Business

First Name

MATTHEW C

Last Name

CARLSON

Suffix

DDS

Business Name

MATTHEW C CARLSON DDS

Original Issue Date

01/29/1992

Effective Date

10/01/2018

Expiration Date

12/31/2021

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/31/2021