ANNA MANZOTTI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

NOT RENEWED

Business

First Name

ANNA

Last Name

MANZOTTI

Suffix

DDS

Business Name

ANNA MANZOTTI DDS

Original Issue Date

05/19/2014

Effective Date

07/16/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018