PAUL ANTHONY NATIVI DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

ACTIVE

Business

First Name

PAUL ANTHONY

Last Name

NATIVI

Suffix

DDS

Business Name

PAUL ANTHONY NATIVI DDS

Original Issue Date

10/12/2021

Effective Date

06/12/2024

Expiration Date

09/30/2027

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/12/2024