ANTHONY N MICELI DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

ACTIVE

Business

First Name

ANTHONY N

Last Name

MICELI

Suffix

DDS

Business Name

ANTHONY N MICELI DDS

Original Issue Date

12/09/1992

Effective Date

09/18/2024

Expiration Date

09/30/2027

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

09/18/2024