COSMO AUGUST VIVIRITO DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

ACTIVE

Business

Title

DMD

First Name

COSMO

Middle

AUGUST

Last Name

VIVIRITO

Business Name

COSMO AUGUST VIVIRITO DMD

Original Issue Date

06/09/2021

Effective Date

08/09/2024

Expiration Date

09/30/2027

City

SAINT CHARLES

State

Zip

60174

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/09/2024