RUSSELL P SPINAZZE DDS 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

RUSSELL P

Last Name

SPINAZZE

Suffix

DDS

Business Name

RUSSELL P SPINAZZE DDS

Original Issue Date

04/17/2014

Effective Date

04/17/2014

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60641

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016