RUSSELL J CECALA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

RUSSELL J

Last Name

CECALA

Suffix

DDS

Business Name

RUSSELL J CECALA DDS

Original Issue Date

12/05/2002

Effective Date

03/07/2013

Expiration Date

09/30/2015

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016