SAMUEL L BIANCO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

NOT RENEWED

Business

First Name

SAMUEL L

Last Name

BIANCO

Suffix

DDS

Business Name

SAMUEL L BIANCO DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

BARTLETT

State

Zip

60103

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

10/13/2005