RICHARD A DISIMONI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

First Name

RICHARD A

Last Name

DISIMONI

Suffix

DDS

Business Name

RICHARD A DISIMONI DDS

Original Issue Date

10/30/1989

Effective Date

09/11/2021

Expiration Date

09/30/2024

City

ST CHARLES

State

Zip

60174

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025