JAMES L DISCIPIO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

NOT RENEWED

Business

First Name

JAMES L

Last Name

DISCIPIO

Business Name

JAMES L DISCIPIO

Original Issue Date

10/22/1984

Effective Date

11/10/2021

Expiration Date

09/30/2024

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025