PATRICIA J GENNARO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

ACTIVE

Business

First Name

PATRICIA

Middle

Last Name

GENNARO

Business Name

PATRICIA J GENNARO

Original Issue Date

12/11/2024

Effective Date

12/11/2024

Expiration Date

09/30/2027

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2025