ANTHONY JAMES DI RENZO DDS 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

ANTHONY JAMES

Last Name

DI RENZO

Suffix

DDS

Business Name

ANTHONY JAMES DI RENZO DDS

Original Issue Date

02/10/1998

Effective Date

02/10/1998

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005