MATT G VANDERMOLEN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

ACTIVE

Business

First Name

MATT

Middle

Last Name

VANDERMOLEN

Suffix

DDS

Business Name

MATT G VANDERMOLEN DDS

Original Issue Date

04/17/1990

Effective Date

07/10/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2024