JEROME B AUSTRIACO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

First Name

JEROME B

Last Name

AUSTRIACO

Business Name

JEROME B AUSTRIACO

Original Issue Date

09/18/1990

Effective Date

09/18/1990

Expiration Date

09/30/1992

City

NORRIDGE

State

Zip

60632

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005