MARK ANDREW MATTHAEI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

ACTIVE

Business

First Name

MARK

Middle

ANDREW

Last Name

MATTHAEI

Suffix

DMD

Business Name

MARK ANDREW MATTHAEI DMD

Original Issue Date

09/07/2001

Effective Date

05/14/2024

Expiration Date

09/30/2027

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/14/2024