THOMAS PETER FIORENZA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019033

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

PETER

Last Name

FIORENZA

Business Name

THOMAS PETER FIORENZA

Original Issue Date

07/25/1984

Effective Date

12/10/2012

Expiration Date

09/30/2015

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016

Case Number

2014004115

Action

Suspension

Discipline Start Date

12/01/2014

Discipline Reason

for failing to provide dental services to a patient agter having accepted payment for such services.