JOHN PETRUCCI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

ACTIVE

Business

First Name

JOHN

Last Name

PETRUCCI

Business Name

JOHN PETRUCCI

Original Issue Date

06/05/1986

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

GLENDALE HTS

State

Zip

60139

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/04/2024