HARRY STAFFILENO JR DDS - Dentist License in Illinois | # 137000233

HARRY STAFFILENO JR DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000233

License Status

NOT RENEWED

Business

N

First Name

HARRY

Last Name

STAFFILENO JR

Suffix

DDS

Business Name

HARRY STAFFILENO JR DDS

Original Issue Date

02/15/1990

Effective Date

06/11/2009

Expiration Date

09/30/2012

State

IL

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

N

LastModifiedDate

11/14/2012