ROSE RUSSO ROSANELLI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

NOT RENEWED

Business

First Name

ROSE RUSSO

Last Name

ROSANELLI

Business Name

ROSE RUSSO ROSANELLI

Original Issue Date

10/22/1984

Effective Date

10/22/1984

Expiration Date

09/30/1998

City

TAMPA

State

Zip

33609

County

FLORIDA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005