GARY JAMES PELLIZZARO DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016325

License Status

INACTIVE

Business

First Name

GARY JAMES

Last Name

PELLIZZARO

Suffix

DMD

Business Name

GARY JAMES PELLIZZARO DMD

Original Issue Date

06/30/1978

Effective Date

09/05/2018

Expiration Date

09/30/2021

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

09/05/2018