STEPHEN J COSENTINO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000308

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

Last Name

COSENTINO

Business Name

STEPHEN J COSENTINO

Original Issue Date

01/14/1989

Effective Date

01/14/1989

Expiration Date

01/13/1993

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005