FRANK S CONTI MICA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

ACTIVE

Business

Title

DMD

First Name

FRANK

Middle

Last Name

CONTI MICA

Business Name

FRANK S CONTI MICA DMD

Original Issue Date

07/21/2021

Effective Date

08/06/2024

Expiration Date

09/30/2027

City

MCHENRY

State

Zip

60050

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/06/2024