SAPNA MARY MATHEWS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****73

License Status

NOT RENEWED

Business

Title

DMD

First Name

SAPNA

Middle

MARY

Last Name

MATHEWS

Business Name

SAPNA MARY MATHEWS DMD

Original Issue Date

08/03/2017

Effective Date

08/15/2018

Expiration Date

01/31/2022

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022