PHILIP MICHAEL PELUSO 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

PHILIP MICHAEL

Last Name

PELUSO

Suffix

DDS

Business Name

PHILIP MICHAEL PELUSO DDS

Original Issue Date

01/01/1998

Effective Date

08/14/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60638

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022