DAVID ALAN PETROSELLI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ALAN

Last Name

PETROSELLI

Suffix

DDS

Business Name

DAVID ALAN PETROSELLI DDS

Original Issue Date

06/10/1985

Effective Date

12/15/2021

Expiration Date

09/30/2024

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025