PATRICIA J GENNARO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

Last Name

GENNARO

Business Name

PATRICIA J GENNARO

Original Issue Date

07/01/2002

Effective Date

01/02/2022

Expiration Date

09/30/2024

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025