GREG R CANNIZZO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

ACTIVE

Business

First Name

GREG

Middle

Last Name

CANNIZZO

Business Name

GREG R CANNIZZO

Original Issue Date

09/11/1987

Effective Date

06/28/2024

Expiration Date

09/30/2027

City

MCHENRY

State

Zip

60050

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2024