JAMES L DERRICO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

First Name

JAMES L

Last Name

DERRICO

Business Name

JAMES L DERRICO

Original Issue Date

10/22/1985

Effective Date

06/25/2018

Expiration Date

01/31/2022

City

LISLE

State

Zip

60532

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022