BENJAMIN SISTINO MISANTONI - Dentist License in Illinois | # 019010631

BENJAMIN SISTINO MISANTONI

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010631

License Status

NOT RENEWED

Business

N

First Name

BENJAMIN SISTINO

Last Name

MISANTONI

Business Name

BENJAMIN SISTINO MISANTONI

Original Issue Date

01/14/1955

Effective Date

01/14/1955

Expiration Date

09/30/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005