DAVID L ROCCO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

ACTIVE

Business

First Name

DAVID L

Last Name

ROCCO

Business Name

DAVID L ROCCO

Original Issue Date

10/08/2021

Effective Date

08/08/2024

Expiration Date

09/30/2027

City

LA GRANGE

State

Zip

60526

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

08/08/2024