MICHAEL JAMES TADIN 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

MICHAEL

Middle

JAMES

Last Name

TADIN

Suffix

DDS

Business Name

MICHAEL JAMES TADIN DDS

Original Issue Date

09/25/2000

Effective Date

07/31/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/31/2024