AMANDA M DISTASIO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014982

License Status

ACTIVE

Business

First Name

AMANDA

Middle

Last Name

DISTASIO

Business Name

AMANDA M DISTASIO

Original Issue Date

11/21/2014

Effective Date

09/29/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

09/29/2024