EVANDRO DA SILVA MATTOS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

NOT RENEWED

Business

First Name

EVANDRO

Middle

DA SILVA

Last Name

MATTOS

Business Name

EVANDRO DA SILVA MATTOS

Original Issue Date

04/12/2022

Effective Date

04/12/2022

Expiration Date

09/30/2024

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025