SAM R CIMMARUSTI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

First Name

SAM R

Last Name

CIMMARUSTI

Suffix

DDS

Business Name

SAM R CIMMARUSTI DDS

Original Issue Date

03/12/1986

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

PALATINE

State

Zip

60067

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009