DANIEL LOUIS JACONETTI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

First Name

DANIEL LOUIS

Last Name

JACONETTI

Business Name

DANIEL LOUIS JACONETTI

Original Issue Date

10/27/1982

Effective Date

10/27/1982

Expiration Date

09/30/1986

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/14/2023