ROBERTO EDGARDO MONTEAGUDO DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

ACTIVE

Business

Title

DDS

First Name

ROBERTO

Middle

EDGARDO

Last Name

MONTEAGUDO

Business Name

ROBERTO EDGARDO MONTEAGUDO DDS

Original Issue Date

01/20/2017

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

WEST ALLIS

State

Zip

53214

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/11/2024