MARK J AMIDEI DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

ACTIVE

Business

First Name

MARK J

Last Name

AMIDEI

Suffix

DDS

Business Name

MARK J AMIDEI DDS

Original Issue Date

08/29/1988

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/13/2024