ANDY MANCINI Dentist License verification

ANDY MANCINI

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

ACTIVE

Business

First Name

ANDY

Last Name

MANCINI

Business Name

ANDY MANCINI

Original Issue Date

10/01/2022

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

ELMWOOD PARK

State

Zip

60707

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/31/2026

Case Number

2024000357

Action

Revocation

Discipline Start Date

01/30/2026

Discipline Reason

dental controlled substance license is revoked due to a sister-state discipline and fraud and misrepresentation on an application for licensure: Discipline by another U.S. jurisdiction or foreign nation, if at least one of the grounds for the discipline is the same or substantially equivalent to those set forth within this Act. (225 ILCS 25§23(18)); 4 separate counts of Fraud or misrepresentation in applying for or procuring a license under this Act (225 ILCS 25§23(1)).