BENJAMIN ANTHONY LOGIUDICE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

ACTIVE

Business

First Name

BENJAMIN

Middle

ANTHONY

Last Name

LOGIUDICE

Business Name

BENJAMIN ANTHONY LOGIUDICE

Original Issue Date

02/20/2002

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

DEERFIELD

State

Zip

60015

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2024