ANDREW EVO BERTAGNA MD DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

ACTIVE

Business

Title

MD DMD

First Name

ANDREW

Middle

EVO

Last Name

BERTAGNA

Business Name

ANDREW EVO BERTAGNA MD DMD

Original Issue Date

08/29/2019

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

SCHAUMBURG

State

Zip

60173

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024