JOHN EUSEBIO VILLANO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****73

License Status

NOT RENEWED

Business

First Name

JOHN EUSEBIO

Last Name

VILLANO

Suffix

DDS

Business Name

JOHN EUSEBIO VILLANO DDS

Original Issue Date

08/27/1997

Effective Date

08/27/1997

Expiration Date

09/30/2002

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005