NICHOLAS ANTHONY AMIGONI DDS - Dentist License in Illinois | # 019018767

NICHOLAS ANTHONY AMIGONI DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018767

License Status

ACTIVE

Business

N

First Name

NICHOLAS

Middle

ANTHONY

Last Name

AMIGONI

Suffix

DDS

Business Name

NICHOLAS ANTHONY AMIGONI DDS

Original Issue Date

08/12/1983

Effective Date

05/10/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

Y

LastModifiedDate

05/10/2024

Case Number

2009005371

Action

Fine

Discipline Start Date

11/25/2013

Discipline Reason

after failed to complete continuing education as required and patient record keeping deficiencies.