RUSSELL P PESAVENTO DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030884

License Status

ACTIVE

Business

Title

DDS

First Name

RUSSELL

Middle

Last Name

PESAVENTO

Business Name

RUSSELL P PESAVENTO DDS

Original Issue Date

07/20/2016

Effective Date

08/31/2024

Expiration Date

09/30/2027

City

PLAINFIELD

State

Zip

60585

County

KENDALL

Ever Disciplined

LastModifiedDate

08/31/2024