MARCIA ANN BASCIANO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

First Name

MARCIA ANN

Last Name

BASCIANO

Suffix

DDS

Business Name

MARCIA ANN BASCIANO DDS

Original Issue Date

01/01/1998

Effective Date

10/17/2012

Expiration Date

09/30/2015

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016