ANTHONY LAVACCA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

ACTIVE

Business

First Name

ANTHONY

Last Name

LAVACCA

Suffix

DMD

Business Name

ANTHONY LAVACCA DMD

Original Issue Date

05/13/2005

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/24/2024