JEFFREY SCOTT MASTROIANNI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

ACTIVE

Business

First Name

JEFFREY

Middle

SCOTT

Last Name

MASTROIANNI

Suffix

DMD

Business Name

JEFFREY SCOTT MASTROIANNI DMD

Original Issue Date

04/21/2004

Effective Date

05/07/2024

Expiration Date

09/30/2027

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2024