GINA M PICCIONI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

ACTIVE

Business

First Name

GINA M

Last Name

PICCIONI

Suffix

DMD

Business Name

GINA M PICCIONI DMD

Original Issue Date

01/09/1995

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

RIVER FOREST

State

Zip

60305

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024