RUSSELL P SPINAZZE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

ACTIVE

Business

First Name

RUSSELL P

Last Name

SPINAZZE

Suffix

DDS

Business Name

RUSSELL P SPINAZZE DDS

Original Issue Date

01/29/1997

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

BARTLETT

State

Zip

60103

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2024