ANTHONY M SPINA DDS MD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

ACTIVE

Business

Title

First Name

ANTHONY M

Last Name

SPINA

Suffix

DDS

Business Name

ANTHONY M SPINA DDS MD

Original Issue Date

03/09/1999

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2024