PHILLIP GEORGE CANNIZZARO DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

ACTIVE

Business

First Name

PHILLIP GEORGE

Last Name

CANNIZZARO

Suffix

DDS

Business Name

PHILLIP GEORGE CANNIZZARO DDS

Original Issue Date

01/01/1998

Effective Date

06/09/2024

Expiration Date

09/30/2027

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2024