JOSEPH W ROSSA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

Last Name

ROSSA

Suffix

DDS

Business Name

JOSEPH W ROSSA DDS

Original Issue Date

12/28/1984

Effective Date

09/26/2012

Expiration Date

09/30/2015

City

LONG GROVE

State

Zip

60047

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016