KONSTANTINO J MANTIS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

ACTIVE

Business

First Name

KONSTANTINO J

Last Name

MANTIS

Suffix

DDS

Business Name

KONSTANTINO J MANTIS DDS

Original Issue Date

09/21/1987

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

WILMETTE

State

Zip

60091

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024