ALEXANDER BEN PONZIO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

NOT RENEWED

Business

First Name

ALEXANDER BEN

Last Name

PONZIO

Suffix

DDS

Business Name

ALEXANDER BEN PONZIO DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

RIVER FOREST

State

Zip

60305

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005