CAROLYN M GIANNELLI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

First Name

CAROLYN M

Last Name

GIANNELLI

Suffix

DDS

Business Name

CAROLYN M GIANNELLI DDS

Original Issue Date

06/03/2014

Effective Date

10/26/2015

Expiration Date

09/30/2018

City

BARTLETT

State

Zip

60103

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018