SUZETTE D PEROSTIANIS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

NOT RENEWED

Business

First Name

SUZETTE D

Last Name

PEROSTIANIS

Suffix

DDS

Business Name

SUZETTE D PEROSTIANIS DDS

Original Issue Date

06/04/1992

Effective Date

06/04/1992

Expiration Date

09/30/1996

City

ELMHURST

State

Zip

60126

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005