BRUCE J TRIVELLINI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

NOT RENEWED

Business

First Name

BRUCE J

Last Name

TRIVELLINI

Business Name

BRUCE J TRIVELLINI

Original Issue Date

07/28/1982

Effective Date

07/28/1982

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005