LEO JOSEPH MISERENDINO DDS 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

LEO JOSEPH

Last Name

MISERENDINO

Suffix

DDS

Business Name

LEO JOSEPH MISERENDINO DDS

Original Issue Date

10/23/1987

Effective Date

10/23/1987

Expiration Date

09/30/1994

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/13/2005