RICHARD RUSSELL CARINGELLA 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

RICHARD RUSSELL

Last Name

CARINGELLA

Business Name

RICHARD RUSSELL CARINGELLA

Original Issue Date

03/31/1986

Effective Date

09/03/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60656

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018