VINCE PENESIS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

ACTIVE

Business

First Name

VINCE

Last Name

PENESIS

Suffix

DDS

Business Name

VINCE PENESIS DDS

Original Issue Date

07/30/2002

Effective Date

07/22/2024

Expiration Date

09/30/2027

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2024