ANNA MANZOTTI DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000190

License Status

INACTIVE

Business

First Name

ANNA

Last Name

MANZOTTI

Suffix

DDS

Business Name

ANNA MANZOTTI DDS

Original Issue Date

08/12/2013

Effective Date

08/12/2013

Expiration Date

07/29/2016

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

08/12/2013