THOMAS R FIOCCHI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

NOT RENEWED

Business

First Name

THOMAS R

Last Name

FIOCCHI

Business Name

THOMAS R FIOCCHI

Original Issue Date

08/01/1983

Effective Date

11/18/2021

Expiration Date

09/30/2024

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025