MARIETTA A BUFALINO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

ACTIVE

Business

First Name

MARIETTA A

Last Name

BUFALINO

Business Name

MARIETTA A BUFALINO

Original Issue Date

09/17/1984

Effective Date

06/13/2024

Expiration Date

09/30/2027

City

BUFFALO GROVE

State

Zip

60089

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/27/2025