MICHAEL P GIOVANNINI 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

MICHAEL P

Last Name

GIOVANNINI

Business Name

MICHAEL P GIOVANNINI

Original Issue Date

11/23/1987

Effective Date

11/23/1987

Expiration Date

09/30/1988

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005