JOSEPH W ROSSA DDS - Dentist License in Illinois | # 137000212

JOSEPH W ROSSA DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000212

License Status

NOT RENEWED

Business

N

First Name

JOSEPH

Middle

W

Last Name

ROSSA

Suffix

DDS

Business Name

JOSEPH W ROSSA DDS

Original Issue Date

02/15/1990

Effective Date

07/24/2006

Expiration Date

09/30/2009

State

IL

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

N

LastModifiedDate

11/04/2009