MATTHEW ISAAC ENZER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

NOT RENEWED

Business

First Name

MATTHEW ISAAC

Last Name

ENZER

Suffix

DDS

Business Name

MATTHEW ISAAC ENZER DDS

Original Issue Date

04/01/1985

Effective Date

04/01/1985

Expiration Date

09/30/1996

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005