NEVIN MATHAI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

ACTIVE

Business

Title

DMD

First Name

NEVIN

Last Name

MATHAI

Business Name

NEVIN MATHAI DMD

Original Issue Date

02/03/2021

Effective Date

08/29/2024

Expiration Date

09/30/2027

City

SAINT LOUIS

State

Zip

63109

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/29/2024