JACK CAPODICE JR - Dentist License in Illinois | # 137000309

JACK CAPODICE JR

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000309

License Status

ACTIVE

Business

N

First Name

JACK

Last Name

CAPODICE JR

Business Name

JACK CAPODICE JR

Original Issue Date

02/22/1992

Effective Date

08/02/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

08/02/2024