ALYSIA SUSAN ALFANO DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

ACTIVE

Business

Title

DMD

First Name

ALYSIA

Middle

SUSAN

Last Name

ALFANO

Business Name

ALYSIA SUSAN ALFANO DMD

Original Issue Date

07/15/2023

Effective Date

05/25/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/25/2024