PHILIP M MUSSARI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

ACTIVE

Business

First Name

PHILIP

Middle

Last Name

MUSSARI

Business Name

PHILIP M MUSSARI

Original Issue Date

11/21/1989

Effective Date

07/28/2024

Expiration Date

09/30/2027

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2024