BENJAMIN ANTHONY LOGIUDICE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000562

License Status

ACTIVE

Business

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

City

DEERFIELD

State

Zip

60015

County

LAKE

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

09/25/2024