MARYLENE VITIELLO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001441

License Status

ACTIVE

Business

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

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

05/14/2024