MARISA RUGINO DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

ACTIVE

Business

Title

DMD

First Name

MARISA

Last Name

RUGINO

Business Name

MARISA RUGINO DMD

Original Issue Date

10/19/2021

Effective Date

08/14/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60642

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/14/2024