CHARISE MARIE PETRELLI DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

ACTIVE

Business

First Name

CHARISE

Middle

MARIE

Last Name

PETRELLI

Suffix

DDS

Business Name

CHARISE MARIE PETRELLI DDS

Original Issue Date

09/17/2002

Effective Date

05/10/2024

Expiration Date

09/30/2027

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2024