HARRY STAFFILENO JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000233

License Status

NOT RENEWED

Business

First Name

HARRY

Last Name

STAFFILENO JR

Suffix

DDS

Business Name

HARRY STAFFILENO JR DDS

Original Issue Date

02/15/1990

Effective Date

06/11/2009

Expiration Date

09/30/2012

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

11/14/2012