GREGORY J DEFELICE Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001340

License Status

EXPIRED

Business

First Name

GREGORY

Middle

Last Name

DEFELICE

Business Name

GREGORY J DEFELICE

Original Issue Date

06/05/2002

Effective Date

06/05/2002

Expiration Date

05/30/2005

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005