RAFFAELE PISANO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001007

License Status

NOT RENEWED

Business

First Name

RAFFAELE

Last Name

PISANO

Business Name

RAFFAELE PISANO

Original Issue Date

04/16/1997

Effective Date

04/16/1997

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Prosthodontics

Ever Disciplined

LastModifiedDate

10/12/2005