PENNY ANNE VISCONTI Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003801

License Status

INACTIVE

Business

First Name

PENNY ANNE

Last Name

VISCONTI

Business Name

PENNY ANNE VISCONTI

Original Issue Date

06/26/1979

Effective Date

06/26/1979

Expiration Date

09/30/1990

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005