BARRY D GIOVANINE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

First Name

BARRY D

Last Name

GIOVANINE

Suffix

DDS

Business Name

BARRY D GIOVANINE DDS

Original Issue Date

07/29/1981

Effective Date

09/27/2012

Expiration Date

09/30/2015

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016