RICHARD P BIANCO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000416

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

BIANCO

Suffix

DDS

Business Name

RICHARD P BIANCO DDS

Original Issue Date

11/19/1996

Effective Date

08/31/2009

Expiration Date

09/30/2012

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

11/14/2012