RAYMOND MARVIN FIOCCHI Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

INOPERATIVE

Business

First Name

RAYMOND MARVIN

Last Name

FIOCCHI

Business Name

RAYMOND MARVIN FIOCCHI

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005