ROY DONALD PUSATERI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010488

License Status

NOT RENEWED

Business

First Name

ROY DONALD

Last Name

PUSATERI

Business Name

ROY DONALD PUSATERI

Original Issue Date

08/05/1954

Effective Date

08/05/1954

Expiration Date

09/30/1994

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

10/12/2005