MICHAEL W MATHEWSON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

ACTIVE

Business

First Name

MICHAEL W

Last Name

MATHEWSON

Suffix

DDS

Business Name

MICHAEL W MATHEWSON DDS

Original Issue Date

01/01/1998

Effective Date

07/25/2024

Expiration Date

09/30/2027

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2024