ROBERT A DESALVO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

First Name

ROBERT A

Last Name

DESALVO

Business Name

ROBERT A DESALVO

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

10/13/2005