ANTOINETTE MARIO PETTITT DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017735

License Status

ACTIVE

Business

First Name

ANTOINETTE

Middle

MARIO

Last Name

PETTITT

Suffix

DDS

Business Name

ANTOINETTE MARIO PETTITT DDS

Original Issue Date

07/14/1981

Effective Date

08/14/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60601

Ever Disciplined

LastModifiedDate

08/14/2024