PHILIP WILLIAM CANNIZZARO DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

NOT RENEWED

Business

Title

DMD

First Name

PHILIP

Middle

WILLIAM

Last Name

CANNIZZARO

Business Name

PHILIP WILLIAM CANNIZZARO DMD

Original Issue Date

10/01/2022

Effective Date

10/01/2022

Expiration Date

09/30/2024

City

MEDINAH

State

Zip

60157

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025