MARK ANGELO SPINAZZE DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000813

License Status

CANCELLED

Business

First Name

MARK

Middle

ANGELO

Last Name

SPINAZZE

Suffix

DDS

Business Name

MARK ANGELO SPINAZZE DDS

Original Issue Date

06/14/2011

Effective Date

06/14/2011

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60641

County

COOK

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

06/01/2011