ANTONELLA AIDA BOTTO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

NOT RENEWED

Business

First Name

ANTONELLA

Middle

AIDA

Last Name

BOTTO

Business Name

ANTONELLA AIDA BOTTO

Original Issue Date

06/14/2022

Effective Date

06/14/2022

Expiration Date

09/30/2024

City

OAKBROOK TERRACE

State

Zip

60181

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025