DAVID ALAN PETROSELLI DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

CANCELLED

Business

First Name

DAVID

Middle

ALAN

Last Name

PETROSELLI

Suffix

DDS

Business Name

DAVID ALAN PETROSELLI DDS

Original Issue Date

01/01/1998

Expiration Date

01/01/1998

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005