RICHARD J BIANCO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

NOT RENEWED

Business

First Name

RICHARD J

Last Name

BIANCO

Business Name

RICHARD J BIANCO

Original Issue Date

02/05/1996

Effective Date

02/05/1996

Expiration Date

09/30/1996

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005