DANIEL I BORDATTO DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

ACTIVE

Business

Title

DMD

First Name

DANIEL

Middle

Last Name

BORDATTO

Business Name

DANIEL I BORDATTO DMD

Original Issue Date

06/08/2016

Effective Date

08/22/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/22/2024