ALLISON L BRAZZO DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

First Name

ALLISON

Middle

Last Name

BRAZZO

Suffix

DMD

Business Name

ALLISON L BRAZZO DMD

Original Issue Date

07/05/2000

Effective Date

07/05/2000

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005