MARYLENE VITIELLO - Dentist License in Illinois | # 019020235

MARYLENE VITIELLO

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020235

License Status

ACTIVE

Business

N

First Name

MARYLENE

Last Name

VITIELLO

Business Name

MARYLENE VITIELLO

Original Issue Date

08/07/1986

Effective Date

05/14/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2024