PENNY ANNE VISCONTI - Dentist License in Illinois | # 020003801

PENNY ANNE VISCONTI

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003801

License Status

INACTIVE

Business

N

First Name

PENNY ANNE

Last Name

VISCONTI

Business Name

PENNY ANNE VISCONTI

Original Issue Date

06/26/1979

Effective Date

06/26/1979

Expiration Date

09/30/1990

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005