MATTHEW GEORGE MANIOUS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

ACTIVE

Business

Title

DMD

First Name

MATTHEW

Middle

GEORGE

Last Name

MANIOUS

Business Name

MATTHEW GEORGE MANIOUS DMD

Original Issue Date

05/25/2017

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024