TODD A MAGGIORE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

ACTIVE

Business

Title

DMD

First Name

TODD A

Last Name

MAGGIORE

Business Name

TODD A MAGGIORE DMD

Original Issue Date

10/11/1995

Effective Date

09/08/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/08/2024