SOTY ANTONY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

ACTIVE

Business

First Name

SOTY

Last Name

ANTONY

Business Name

SOTY ANTONY

Original Issue Date

03/24/2011

Effective Date

06/10/2024

Expiration Date

09/30/2027

City

MOKENA

State

Zip

60448

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/10/2024