LEONARDO GIANNONE 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

LEONARDO

Last Name

GIANNONE

Business Name

LEONARDO GIANNONE

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

SPRINGFIELD

State

Zip

62791

County

SANGAMON

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

10/17/2005