RICHARD JOHN MANTOAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

Business

First Name

RICHARD JOHN

Last Name

MANTOAN

Suffix

DDS

Business Name

RICHARD JOHN MANTOAN DDS

Original Issue Date

05/15/1986

Effective Date

07/27/2018

Expiration Date

01/31/2022

City

FLOSSMOOR

State

Zip

60422

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022