THOMAS PETER FIORENZA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

PETER

Last Name

FIORENZA

Business Name

THOMAS PETER FIORENZA

Original Issue Date

08/23/1984

Effective Date

08/23/1984

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60638

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005