VITTORIA MADIA PONTARELLI DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

ACTIVE

Business

First Name

VITTORIA

Middle

MADIA

Last Name

PONTARELLI

Suffix

DDS

Business Name

VITTORIA MADIA PONTARELLI DDS

Original Issue Date

08/23/2001

Effective Date

09/12/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/12/2024