HENRY E VICIOSO DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022536

License Status

ACTIVE

Business

First Name

HENRY E

Last Name

VICIOSO

Suffix

DDS

Business Name

HENRY E VICIOSO DDS

Original Issue Date

08/01/1991

Effective Date

08/02/2024

Expiration Date

09/30/2027

City

SHOREWOOD

State

Zip

60404

County

WILL

Ever Disciplined

LastModifiedDate

08/02/2024