JENISE J VICARI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

NOT RENEWED

Business

First Name

JENISE J

Last Name

VICARI

Business Name

JENISE J VICARI

Original Issue Date

08/14/1986

Effective Date

08/14/1986

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005