GARY M LAMANTIA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

ACTIVE

Business

First Name

GARY M

Last Name

LAMANTIA

Business Name

GARY M LAMANTIA

Original Issue Date

08/03/1983

Effective Date

06/06/2024

Expiration Date

09/30/2027

City

NILES

State

Zip

60714

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2024