EILEEN C FELICELLI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

First Name

EILEEN C

Last Name

FELICELLI

Business Name

EILEEN C FELICELLI

Original Issue Date

03/12/1986

Effective Date

03/12/1986

Expiration Date

09/30/1992

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005