LARRY ALLAN CRISAFULLI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015465

License Status

NOT RENEWED

Business

First Name

LARRY ALLAN

Last Name

CRISAFULLI

Suffix

DDS

Business Name

LARRY ALLAN CRISAFULLI DDS

Original Issue Date

06/07/1976

Effective Date

06/07/1976

Expiration Date

09/30/2004

City

LINCOLN

State

Zip

62656

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005