MATTHEW ALEX LUPSAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

ACTIVE

Business

Title

DDS

First Name

MATTHEW

Middle

ALEX

Last Name

LUPSAN

Business Name

MATTHEW ALEX LUPSAN DDS

Original Issue Date

07/21/2023

Effective Date

08/15/2024

Expiration Date

09/30/2027

City

OAK PARK

State

Zip

60301

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/15/2024