NICHOLAS EUGENE CAPEZIO DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

ACTIVE

Business

Title

DMD

First Name

NICHOLAS

Middle

EUGENE

Last Name

CAPEZIO

Business Name

NICHOLAS EUGENE CAPEZIO DMD

Original Issue Date

06/25/2020

Effective Date

07/17/2024

Expiration Date

09/30/2027

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2024