RITA THERESE LOSSAU 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

RITA THERESE

Last Name

LOSSAU

Business Name

RITA THERESE LOSSAU

Original Issue Date

01/01/1998

Effective Date

04/12/2016

Expiration Date

09/30/2018

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018