DALE JOSEPH VERCELLOTTI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

NOT RENEWED

Business

First Name

DALE

Middle

JOSEPH

Last Name

VERCELLOTTI

Suffix

DDS

Business Name

DALE JOSEPH VERCELLOTTI DDS

Original Issue Date

01/01/1998

Effective Date

09/21/2009

Expiration Date

09/30/2012

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012