VINCENT RALPH STEVEN CRESCENZO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016306

License Status

NOT RENEWED

Business

Title

DDS

First Name

VINCENT

Middle

RALPH STEVEN

Last Name

CRESCENZO

Business Name

VINCENT RALPH STEVEN CRESCENZO DDS

Original Issue Date

06/30/1978

Effective Date

09/18/2012

Expiration Date

09/30/2015

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016