JOSEPH EUGENE CANZONA DDS - Medical Doctor License in Illinois | # 125012462

JOSEPH EUGENE CANZONA DDS

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012462

License Status

EXPIRED

Business

N

First Name

JOSEPH EUGENE

Last Name

CANZONA

Suffix

DDS

Business Name

JOSEPH EUGENE CANZONA DDS

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

06/24/1983

State

IL

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006