BENJAMIN ANTHONY LOGIUDICE - Dentist License in Illinois | # 137000562

BENJAMIN ANTHONY LOGIUDICE

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000562

License Status

ACTIVE

Business

N

First Name

BENJAMIN

Middle

ANTHONY

Last Name

LOGIUDICE

Business Name

BENJAMIN ANTHONY LOGIUDICE

Original Issue Date

07/23/2002

Effective Date

09/25/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

09/25/2024