PETER A LODESTRO DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

ACTIVE

Business

First Name

PETER

Middle

Last Name

LODESTRO

Suffix

DDS

Business Name

PETER A LODESTRO DDS

Original Issue Date

08/27/2004

Effective Date

05/12/2024

Expiration Date

09/30/2027

City

YORKVILLE

State

Zip

60560

County

KENDALL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2024