RUSSELL P SPINAZZE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000431

License Status

NOT RENEWED

Business

First Name

RUSSELL P

Last Name

SPINAZZE

Suffix

DDS

Business Name

RUSSELL P SPINAZZE DDS

Original Issue Date

06/30/1997

Effective Date

06/30/1997

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60634

County

COOK

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

10/13/2005