MARISA RUGINO DMD Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

CANCELLED

Business

Title

DMD

First Name

MARISA

Last Name

RUGINO

Business Name

MARISA RUGINO DMD

Original Issue Date

06/03/2020

Effective Date

06/03/2020

Expiration Date

09/30/2021

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/03/2020