VINCENT JOSEPH PISCITELLI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

NOT RENEWED

Business

First Name

VINCENT JOSEPH

Last Name

PISCITELLI

Business Name

VINCENT JOSEPH PISCITELLI

Original Issue Date

01/01/1998

Expiration Date

09/30/1988

City

TONICA

State

Zip

61370

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005