ROBERT JOHN BACCI DDS 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

ROBERT

Middle

JOHN

Last Name

BACCI

Suffix

DDS

Business Name

ROBERT JOHN BACCI DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

LAKE VILLA

State

Zip

60046

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005