LUIS ANDRE MENDONCA MEZZOMO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

ACTIVE

Business

First Name

LUIS ANDRE

Last Name

MENDONCA MEZZOMO

Business Name

LUIS ANDRE MENDONCA MEZZOMO

Original Issue Date

10/18/2024

Effective Date

10/18/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

TEACHING INSTITUTION

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

02/24/2025