VINCENT RALPH STEVEN CRESCENZO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

NOT RENEWED

Business

Title

DDS

First Name

VINCENT

Middle

RALPH STEVEN

Last Name

CRESCENZO

Business Name

VINCENT RALPH STEVEN CRESCENZO DDS

Original Issue Date

01/01/1998

Effective Date

09/18/2012

Expiration Date

09/30/2015

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016