ANDREW JOSEPH CARMOSINO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001829

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

JOSEPH

Last Name

CARMOSINO

Business Name

ANDREW JOSEPH CARMOSINO

Original Issue Date

04/05/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

01/07/2016