TRACEY J DELLA VECCHIA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

NOT RENEWED

Business

First Name

TRACEY

Middle

Last Name

DELLA VECCHIA

Suffix

DDS

Business Name

TRACEY J DELLA VECCHIA DDS

Original Issue Date

01/26/2005

Effective Date

01/26/2005

Expiration Date

09/30/2006

City

ANTIOCH

State

Zip

60002

County

LAKE

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/08/2006