ANGERA MA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

ACTIVE

Business

Title

DDS

First Name

ANGERA

Last Name

Business Name

ANGERA MA DDS

Original Issue Date

08/23/2019

Effective Date

05/09/2024

Expiration Date

09/30/2027

City

WILMETTE

State

Zip

60091

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2024