CRYSTAL SUE FIACCATO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012528

License Status

ACTIVE

Business

First Name

CRYSTAL

Middle

SUE

Last Name

FIACCATO

Business Name

CRYSTAL SUE FIACCATO

Original Issue Date

06/25/2008

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/13/2024