RICHARD S VACCA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000331

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

VACCA

Business Name

RICHARD S VACCA

Original Issue Date

05/15/1989

Effective Date

05/15/1989

Expiration Date

06/30/1990

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/12/2005