GREGORY AMADEO BERTAGNA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

ACTIVE

Business

First Name

GREGORY AMADEO

Last Name

BERTAGNA

Suffix

DDS

Business Name

GREGORY AMADEO BERTAGNA DDS

Original Issue Date

08/12/1981

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

RIVER GROVE

State

Zip

60171

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/04/2024