ANTHONY ORLANDO PONZIO DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

ACTIVE

Business

First Name

ANTHONY

Middle

ORLANDO

Last Name

PONZIO

Suffix

DDS

Business Name

ANTHONY ORLANDO PONZIO DDS

Original Issue Date

06/07/2004

Effective Date

08/26/2024

Expiration Date

09/30/2027

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/26/2024