JOHN ROBERT BICEGO JR DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017165

License Status

INACTIVE

Business

First Name

JOHN ROBERT

Last Name

BICEGO JR

Suffix

DDS

Business Name

JOHN ROBERT BICEGO JR DDS

Original Issue Date

07/10/1980

Effective Date

08/16/2018

Expiration Date

12/31/2021

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

09/29/2021