JOHN R BIANCALANA 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

JOHN R

Last Name

BIANCALANA

Business Name

JOHN R BIANCALANA

Original Issue Date

08/04/1982

Effective Date

09/24/2015

Expiration Date

09/30/2018

City

BURLINGTON

State

Zip

60109

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018