ANTONELLA AIDA BOTTO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001113

License Status

ACTIVE

Business

First Name

ANTONELLA

Middle

AIDA

Last Name

BOTTO

Business Name

ANTONELLA AIDA BOTTO

Original Issue Date

12/29/2022

Effective Date

09/16/2024

Expiration Date

09/30/2027

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

09/16/2024