FRED PETER BIASIELLO DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027965

License Status

ACTIVE

Business

First Name

FRED

Middle

PETER

Last Name

BIASIELLO

Suffix

DDS

Business Name

FRED PETER BIASIELLO DDS

Original Issue Date

06/01/2009

Effective Date

08/28/2024

Expiration Date

09/30/2027

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

08/28/2024