PERRY E ROSSINO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

NOT RENEWED

Business

First Name

PERRY E

Last Name

ROSSINO

Business Name

PERRY E ROSSINO

Original Issue Date

07/18/2020

Effective Date

07/18/2020

Expiration Date

01/31/2022

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022