VITO P LA SUSA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024973

License Status

ACTIVE

Business

First Name

VITO

Middle

Last Name

LA SUSA

Suffix

DDS

Business Name

VITO P LA SUSA DDS

Original Issue Date

03/31/1999

Effective Date

08/16/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

08/16/2024