JEROME VICTOR PISANO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

NOT RENEWED

Business

First Name

JEROME

Middle

VICTOR

Last Name

PISANO

Suffix

DDS

Business Name

JEROME VICTOR PISANO DDS

Original Issue Date

01/01/1998

Effective Date

11/16/2015

Expiration Date

09/30/2018

City

SCHAUMBURG

State

Zip

60173

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018