GREGORY A VIVIRITO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

First Name

GREGORY A

Last Name

VIVIRITO

Suffix

DDS

Business Name

GREGORY A VIVIRITO DDS

Original Issue Date

01/01/1998

Effective Date

09/25/2018

Expiration Date

01/31/2022

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022