SILVIO J CAMODECA 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

SILVIO

Middle

Last Name

CAMODECA

Business Name

SILVIO J CAMODECA

Original Issue Date

01/17/1992

Effective Date

01/17/1992

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005