DANIEL LOUIS JACONETTI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

ACTIVE

Business

First Name

DANIEL LOUIS

Last Name

JACONETTI

Business Name

DANIEL LOUIS JACONETTI

Original Issue Date

12/12/1983

Effective Date

09/15/2024

Expiration Date

09/30/2027

City

NORRIDGE

State

Zip

60706

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/15/2024