VICTOR R MANCUSO JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000606

License Status

NOT RENEWED

Business

First Name

VICTOR R

Last Name

MANCUSO JR

Suffix

DDS

Business Name

VICTOR R MANCUSO JR DDS

Original Issue Date

05/21/1992

Effective Date

05/21/1992

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

10/12/2005