JOSEPH ANTHONY ILACQUA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

First Name

JOSEPH ANTHONY

Last Name

ILACQUA

Suffix

DDS

Business Name

JOSEPH ANTHONY ILACQUA DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

GREAT LAKES

State

Zip

60088

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005