BIANCA C MANISCALCO DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

ACTIVE

Business

Title

DMD

First Name

BIANCA

Middle

Last Name

MANISCALCO

Business Name

BIANCA C MANISCALCO DMD

Original Issue Date

09/09/2024

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/09/2024