LOUIS MATTHEW ANDRIA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

First Name

LOUIS MATTHEW

Last Name

ANDRIA

Suffix

DDS

Business Name

LOUIS MATTHEW ANDRIA DDS

Original Issue Date

04/16/1997

Effective Date

04/16/1997

Expiration Date

09/30/1998

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/13/2005