MARK ANTHONY MANUEL MENDIOLA DDS 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 ANTHONY

Middle

MANUEL

Last Name

MENDIOLA

Suffix

DDS

Business Name

MARK ANTHONY MANUEL MENDIOLA DDS

Original Issue Date

04/07/2006

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60654

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024