VINCENT T VERSACI DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

ACTIVE

Business

First Name

VINCENT T

Last Name

VERSACI

Suffix

DDS

Business Name

VINCENT T VERSACI DDS

Original Issue Date

08/18/1987

Effective Date

06/11/2024

Expiration Date

09/30/2027

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/11/2024