PERRY E ROSSINO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

NOT RENEWED

Business

First Name

PERRY E

Last Name

ROSSINO

Business Name

PERRY E ROSSINO

Original Issue Date

10/19/1983

Effective Date

10/19/1983

Expiration Date

09/30/2006

City

AURORA

State

Zip

60504

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006