ANTHONY LAVACCA DMD - Dentist License in Illinois | # 021002505

ANTHONY LAVACCA DMD

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002505

License Status

ACTIVE

Business

N

First Name

ANTHONY

Last Name

LAVACCA

Suffix

DMD

Business Name

ANTHONY LAVACCA DMD

Original Issue Date

04/11/2013

Effective Date

09/24/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

PROSTHODONTICS

Ever Disciplined

N

LastModifiedDate

09/24/2024