LOUIS EUGENE ANTONACCI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

License Status

NOT RENEWED

Business

First Name

LOUIS EUGENE

Last Name

ANTONACCI

Suffix

DDS

Business Name

LOUIS EUGENE ANTONACCI DDS

Original Issue Date

01/01/1998

Effective Date

06/19/2018

Expiration Date

01/31/2022

City

HAMPSHIRE

State

Zip

60140

County

KANE

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/09/2022