ANTHONY M SPINA DDS MD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

NOT RENEWED

Business

Title

First Name

ANTHONY M

Last Name

SPINA

Suffix

DDS

Business Name

ANTHONY M SPINA DDS MD

Original Issue Date

01/11/2005

Effective Date

08/03/2012

Expiration Date

09/30/2015

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016