LOUIS B SCANNICCHIO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

ACTIVE

Business

First Name

LOUIS B

Last Name

SCANNICCHIO

Business Name

LOUIS B SCANNICCHIO

Original Issue Date

09/14/1984

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

OAK PARK

State

Zip

60301

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024