ALEXANDER PORTNOY DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

ACTIVE

Business

Title

DMD

First Name

ALEXANDER

Last Name

PORTNOY

Business Name

ALEXANDER PORTNOY DMD

Original Issue Date

05/22/2023

Effective Date

08/21/2024

Expiration Date

09/30/2027

City

WHEELING

State

Zip

60090

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/21/2024