GERALD VISCONTI Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013695

License Status

INACTIVE

Business

First Name

GERALD

Last Name

VISCONTI

Business Name

GERALD VISCONTI

Original Issue Date

07/14/1969

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

07/24/2006