PRISCILLA LAVAGNOLLI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

ACTIVE

Business

Title

DMD

First Name

PRISCILLA

Last Name

LAVAGNOLLI

Business Name

PRISCILLA LAVAGNOLLI DMD

Original Issue Date

06/09/2021

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60641

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/09/2024