PETER THOMAS CRACCHIOLO DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001806

License Status

INACTIVE

Business

Title

DDS

First Name

PETER

Middle

THOMAS

Last Name

CRACCHIOLO

Business Name

PETER THOMAS CRACCHIOLO DDS

Original Issue Date

06/16/2011

Effective Date

07/01/2011

Expiration Date

06/30/2012

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

06/16/2011