AUSTIN LUCAS CACCIAGLIA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

NOT RENEWED

Business

Title

DDS

First Name

AUSTIN

Middle

LUCAS

Last Name

CACCIAGLIA

Business Name

AUSTIN LUCAS CACCIAGLIA DDS

Original Issue Date

09/02/2020

Effective Date

12/02/2021

Expiration Date

09/30/2024

City

NORTH CHICAGO

State

Zip

60088

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025