TAMMY GIANNETTA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

ACTIVE

Business

First Name

TAMMY

Last Name

GIANNETTA

Suffix

DDS

Business Name

TAMMY GIANNETTA DDS

Original Issue Date

09/30/2004

Effective Date

08/07/2024

Expiration Date

09/30/2027

City

LOCKPORT

State

Zip

60441

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/07/2024