DOMINIQUE ERICA BERTUCCI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

ACTIVE

Business

Title

DMD

First Name

DOMINIQUE

Middle

ERICA

Last Name

BERTUCCI

Business Name

DOMINIQUE ERICA BERTUCCI DMD

Original Issue Date

03/08/2024

Effective Date

09/17/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/17/2024