LORETTA A DEFELICE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

First Name

LORETTA A

Last Name

DEFELICE

Business Name

LORETTA A DEFELICE

Original Issue Date

08/18/1987

Effective Date

08/18/1987

Expiration Date

09/30/1988

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005