HENRY W CROSSETTI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

First Name

HENRY

Middle

Last Name

CROSSETTI

Suffix

DDS

Business Name

HENRY W CROSSETTI DDS

Original Issue Date

01/01/1998

Effective Date

09/26/2012

Expiration Date

09/30/2015

City

SCHAUMBURG

State

Zip

60173

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016

Case Number

1983000202

Action

Probation

Discipline Start Date

09/29/1986

Discipline End Date

09/29/1988