ANDREW EVO BERTAGNA MD DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001197

License Status

ACTIVE

Business

Title

MD DMD

First Name

ANDREW

Middle

EVO

Last Name

BERTAGNA

Business Name

ANDREW EVO BERTAGNA MD DMD

Original Issue Date

07/15/2025

Effective Date

07/15/2025

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

10/07/2025