VINCENT RALPH STEVEN CRESCENZO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

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

08/08/1988

Effective Date

08/27/2009

Expiration Date

09/30/2012

City

GLENWOOD

State

Zip

60425

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012