RUSSELL P PESAVENTO DDS - Dentist License in Illinois | # 019030884

RUSSELL P PESAVENTO DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030884

License Status

ACTIVE

Business

N

Title

DDS

First Name

RUSSELL

Middle

P

Last Name

PESAVENTO

Business Name

RUSSELL P PESAVENTO DDS

Original Issue Date

07/20/2016

Effective Date

08/31/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

08/31/2024