JOHN ROBERT BICEGO JR DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

INACTIVE

Business

First Name

JOHN ROBERT

Last Name

BICEGO JR

Suffix

DDS

Business Name

JOHN ROBERT BICEGO JR DDS

Original Issue Date

01/01/1998

Effective Date

08/16/2018

Expiration Date

12/31/2021

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/29/2021