ROSE M VIVIRITO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

ACTIVE

Business

First Name

ROSE M

Last Name

VIVIRITO

Business Name

ROSE M VIVIRITO

Original Issue Date

11/20/1989

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

ST CHARLES

State

Zip

60175

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2024