SARAH ROSE DEVIVO DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

ACTIVE

Business

Title

DMD

First Name

SARAH

Middle

ROSE

Last Name

DEVIVO

Business Name

SARAH ROSE DEVIVO DMD

Original Issue Date

07/21/2023

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/13/2024