CHARLES A LOGIUDICE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

NOT RENEWED

Business

First Name

CHARLES A

Last Name

LOGIUDICE

Suffix

DDS

Business Name

CHARLES A LOGIUDICE DDS

Original Issue Date

01/01/1998

Effective Date

01/15/2022

Expiration Date

09/30/2024

City

GENESEO

State

Zip

61254

County

HENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025