SAM R CIMMARUSTI DDS - Dentist License in Illinois | # 019017305

SAM R CIMMARUSTI DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017305

License Status

NOT RENEWED

Business

N

First Name

SAM R

Last Name

CIMMARUSTI

Suffix

DDS

Business Name

SAM R CIMMARUSTI DDS

Original Issue Date

07/15/1980

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2010