VINCENT RALPH STEVEN CRESCENZO 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

Title

DDS

First Name

VINCENT

Middle

RALPH STEVEN

Last Name

CRESCENZO

Business Name

VINCENT RALPH STEVEN CRESCENZO DDS

Original Issue Date

07/27/1988

Effective Date

07/27/1988

Expiration Date

09/30/2006

City

BEECHER

State

Zip

60401

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006