RICHARD W PACELLI 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

RICHARD W

Last Name

PACELLI

Business Name

RICHARD W PACELLI

Original Issue Date

10/20/1982

Effective Date

12/19/2021

Expiration Date

09/30/2024

City

LA GRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025