AMANDA PAIGE PRENTICE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

ACTIVE

Business

Title

DDS

First Name

AMANDA

Middle

PAIGE

Last Name

PRENTICE

Business Name

AMANDA PAIGE PRENTICE DDS

Original Issue Date

10/03/2019

Effective Date

05/07/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2024