DAVID ALLAN PESAVENTO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

Title

DDS

First Name

DAVID

Middle

ALLAN

Last Name

PESAVENTO

Business Name

DAVID ALLAN PESAVENTO DDS

Original Issue Date

01/01/1998

Effective Date

09/11/2012

Expiration Date

09/30/2015

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016