VASILIOS D MANTIS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

NOT RENEWED

Business

First Name

VASILIOS D

Last Name

MANTIS

Suffix

DDS

Business Name

VASILIOS D MANTIS DDS

Original Issue Date

03/05/1991

Effective Date

03/05/1991

Expiration Date

09/30/2006

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006