ANTHONY M SPINA DDS MD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000452

License Status

ACTIVE

Business

Title

First Name

ANTHONY M

Last Name

SPINA

Suffix

DDS

Business Name

ANTHONY M SPINA DDS MD

Original Issue Date

03/03/1999

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

05/03/2024