MARYLENE VITIELLO - Dentist License in Illinois | # 021001441

MARYLENE VITIELLO

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001441

License Status

ACTIVE

Business

N

First Name

MARYLENE

Last Name

VITIELLO

Business Name

MARYLENE VITIELLO

Original Issue Date

10/18/1989

Effective Date

05/14/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

05/14/2024