ANTONELLA AIDA BOTTO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

ACTIVE

Business

First Name

ANTONELLA

Middle

AIDA

Last Name

BOTTO

Business Name

ANTONELLA AIDA BOTTO

Original Issue Date

06/03/2022

Effective Date

09/16/2024

Expiration Date

09/30/2027

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/16/2024